DEBORAH M DEGOOYER PA-C NPI 1134156128

NPI Information

NPI: 1134156128
Provider Name: DEBORAH M DEGOOYER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
3909 CREEKSIDE LOOP
YAKIMA, WA
ZIP 98902
Phone: (509) 248-6616
Get Directions

Deborah M Degooyer, PA-C is a medical physician assistant in Yakima, WA. Deborah M Degooyer, PA-C NPI is 1134156128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3909 CREEKSIDE LOOP
YAKIMA, WA
ZIP 98902-880
Phone: (509) 248-6616

The enumeration date for this NPI number is 6/27/2006 and was last updated on 6/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA10004054	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P20287	MEDICARE UPIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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