Lastinger, Deborah M

Lastinger, Deborah M is an individual health care provider with primary practice located at 12442 Sw Scholls Ferry Rd Suite 100, Tigard OR 97223-3396. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Lastinger, Deborah M can be contacted via phone (503) 216-9900.

Contact Information

Primary practice address
12442 Sw Scholls Ferry Rd Suite 100 Tigard OR 97223-3396
Phone: (503) 216-9900
Fax: (503) 216-9266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 096006708N3 Oregon

Profile Details

NPI number 1497781959
LBN Legal business name Lastinger, Deborah M
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Dec 23rd, 2013 - about 11 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 1497781959 NPPES
Oregon Other 500017837 RR MEDICARE

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