Individual
DEANNA MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2191 MARION ST, NORTH BEND, OR 97459-2314
(541) 756-8002
Mailing address
2191 MARION ST, NORTH BEND, OR 97459-2314
(541) 756-8002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
00029034
OR
Other
Enumeration date
07/12/2006
Last updated
12/31/2009
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