Individual
DEBORAH ANNE SAMOSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2002
Mailing address
408 W 45TH ST, AUSTIN, TX 78751-3014
(512) 451-5800
(512) 451-6341
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10024068
OR
363L00000X
Nurse Practitioner
614758
TX
363L00000X
Nurse Practitioner
67918
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147711903
—
TX
05
—
500835901
—
OR
Enumeration date
08/03/2006
Last updated
08/01/2024
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