Individual provider · Type 1 NPI

Debrah A. Wong, FNP

Family Nurse Practitioner · Portland, OR

NPI number 1962495044 Active

Practice location

1111 NE 99th Ave
Portland, OR 97220-9428

Fax (503) 963-3005

Mailing address

975 SE Sandy Blvd, Suite 200
Portland, OR 97214-1308

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X097006867N1 FNP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1962495044

Debrah A. Wong, FNP's National Provider Identifier is 1962495044, issued on Aug 24, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Aug 5, 2008.