Frost, Debra Rae

Frost, Debra Rae is an sole proprietor health care provider with primary practice located at 19 Myrtle St , Medford OR 97504-7337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Frost, Debra Rae can be contacted via phone (541) 773-3863.

Contact Information

Primary practice address
19 Myrtle St Medford OR 97504-7337
Phone: (541) 773-3863
Fax: (541) 500-8171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-62495 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 202000800NP-PP Oregon

Profile Details

NPI number 1609904853
LBN Legal business name Frost, Debra Rae
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated Jul 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609904853 NPPES
Oregon MEDICAID 500776836

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