DEBRAH A WONG FNP NPI 1962495044

NPI Information

NPI: 1962495044
Provider Name: DEBRAH A WONG, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1111 NE 99TH AVE
PORTLAND, OR
ZIP 97220
Phone: (503) 963-3030
Get Directions

Debrah A Wong, FNP is a family nurse practitioner in Portland, OR. Debrah A Wong, FNP NPI is 1962495044. 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:

1111 NE 99TH AVE
PORTLAND, OR
ZIP 97220-428
Phone: (503) 963-3030
Fax: (503) 963-3005

The enumeration date for this NPI number is 8/24/2005 and was last updated on 8/5/2008.

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	363LF0000X	Nurse Practitioner	Family	097006867N1 FNP-PP	OREGON	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
1	P121439	MEDICARE ID-TYPE UNSPECIFIED	OREGON
2	S60860	MEDICARE UPIN	OREGON
3	9643966	MEDICAID	WASHINGTON
4	276692	MEDICAID	OREGON

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: 4/28/2024

NPI Synchronization or Removal

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