Tri, Debra

Tri, Debra is an individual health care provider with primary practice located at 1025 153Rd St Se Suite 200, Mill Creek WA 98012-4051. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tri, Debra can be contacted via phone (425) 745-4750.

Contact Information

Primary practice address
1025 153Rd St Se Suite 200 Mill Creek WA 98012-4051
Fax: (425) 745-6158
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30001885 Washington

Profile Details

NPI number 1194748517
LBN Legal business name Tri, Debra
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Apr 1st, 2016 - about 8 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 1194748517 NPPES
Washington MEDICAID 9647934

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