Individual
DEBRA L TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1001 MOLALLA AVE STE 100, OREGON CITY, OR 97045-3753
(503) 656-5273
(503) 650-4828
Mailing address
6 CENTERPOINTE DR STE 200, LAKE OSWEGO, OR 97035-8660
(503) 797-2273
(503) 234-8155
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
083038655N3
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210692
—
OR
01
—
500013455
RR PIN #
—
Enumeration date
05/16/2006
Last updated
09/29/2010
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