person
Deborah M Lastinger, ANP
General Practice Registered Nurse in Tigard, Oregon
NPI 1497781959

Deborah M Lastinger is a General Practice Registered Nurse based in Portland, OR and is specialized in General Practice. Deborah M Lastinger practices in Tigard, OR and has the professional credentials of ANP. The NPI Number for Deborah M Lastinger is 1497781959 and holds a License No. 096006708N3 (Oregon).

The current practice location address for Deborah M Lastinger is 12442 Sw Scholls Ferry Rd, Tigard, OR and can be reached out via phone at 503-216-9900 and via fax at 503-216-9266. You can also correspond with Deborah M Lastinger through the mailing address at PO BOX 3158, PORTLAND, OR - 97208-3158 (mailing address contact number: 503-215-6494).

Location: 12442 Sw Scholls Ferry Rd, Tigard, OR, 97208-3158
person
Provider Profile Details
NPI Number
1497781959
Provider Name
Deborah M Lastinger
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
12442 Sw Scholls Ferry Rd, Tigard, OR, 97208-3158
Phone Number
503-216-9900
Fax Number
503-216-9266
Provider Enumeration Date
06/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500017837 01 OR RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
12442 Sw Scholls Ferry Rd
City
State
Zip
97223-3396
Phone Number
503-216-9900
Fax Number
503-216-9266
person
Provider Business Mailing Address Details
Address
Po Box 3158
City
State
Zip
97208-3158
Phone Number
503-215-6494
Fax Number
503-215-6644
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
096006708N3 (Oregon)
Definition
Definition to come...
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