Active NPIIndividual providerSole proprietor

Debra S Blaker, FNP

Nurse Practitioner, Family in Eugene, Oregon

NPI Number1104906981
Practice location
1902 Jefferson St, Suite 2, Eugene, OR 97405-2414
Fax
541-284-2826
Last updated
November 28, 2017

Debra S Blaker, FNP is a Nurse Practitioner, Family based in Eugene, OR. Debra S Blaker, FNP holds the professional credentials of FNP. The NPI number for Debra S Blaker, FNP is 1104906981 and holds license No. 090006820n1 (OR). The current practice location address is 1902 Jefferson St, Suite 2, Eugene, OR 97405-2414 and the office can be reached by phone at 541-284-8882 and by fax at 541-284-2826. The NPI was assigned on October 16, 2006 and the record was last updated in NPPES on November 28, 2017.

●Provider Profile Details

NPI Number
1104906981
Provider Name
Debra Susan Blaker
Credential
FNP
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Enumeration Date
October 16, 2006
Last Update Date
November 28, 2017
NPI Status
Active

◉Business Practice Location Address

Address
1902 Jefferson St
Suite 2
Eugene, OR 97405-2414
City
Eugene
State
Oregon
ZIP
97405-2414
Country
US
Phone Number
541-284-8882
Fax Number
541-284-2826

Get directions →

✉Business Mailing Address

Address
1902 Jefferson St
Suite 2
Eugene, OR 97405-2414
City
Eugene
State
OR
ZIP
97405-2414
Phone Number
541-284-8882
Fax Number
541-284-2826

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Family363LF0000XYes090006820n1OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Debra S Blaker, FNP?

The NPI number of Debra S Blaker, FNP is 1104906981. It was assigned on October 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Debra S Blaker, FNP?

Debra S Blaker, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X) and holds license No. 090006820n1 (OR).

Where does Debra S Blaker, FNP practice?

The practice location is 1902 Jefferson St, Suite 2, Eugene, OR 97405-2414. The office can be reached at 541-284-8882 (phone) or 541-284-2826 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104906981 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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