Individual
NICOLE DEBOER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2200 NE NEFF RD STE 302, BEND, OR 97701-4279
(541) 706-6915
(541) 706-6733
Mailing address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61095221
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61478766
WA
Other
Enumeration date
02/28/2023
Last updated
04/24/2026
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