Individual
DEBORAH TAPPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 MAIN ST STE 613, KLAMATH FALLS, OR 97601-5800
(541) 880-5594
(541) 273-0156
Mailing address
905 MAIN ST STE 613, KLAMATH FALLS, OR 97601-5800
(541) 880-5594
(541) 273-0156
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15-2080
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
524610
—
OR
Enumeration date
10/02/2015
Last updated
10/02/2015
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