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Overview
Name: DEBRAH A WONG FNP Specialty: Family Nurse Practitioner Type of Practice: Individual provider Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers Classification: Nurse Practitioner Specialization: Family. Definition of Specialty: Definition to come…
License & NPI
License #(s): 097006867N1 FNP-PP, , , , License State(s): OR, , , ,
Addresses
Practice Location: 1111 NE 99TH AVE,PORTLAND,OR,972209428,US Mailing Address: 975 SE SANDY BLVD,SUITE 200,PORTLAND,OR,972141308,US
Contact #
Practice location phone #: 5039633030 Practice location fax #: 5039633005 Mailing address Phone #: 5039632846 Mailing Address fax #: 5039639505 Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/24/2005 Last data data was updated: 08/05/2008 Insurances:

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