Debra Susan Blaker is a Family in Eugene, Oregon. Debra Susan Blaker practices all healthcare services and medical treatments related to Family. The NPI Number for Debra Susan Blaker is 1104906981. The last update date is 2017-11-28.
Debra Susan Blaker's current location address is 1902 Jefferson St, Eugene, Oregon. You can contact this provider via phone number 5412848882 and fax number 5412842826. The mailing address for Debra Susan Blaker is 1902 Jefferson St, Eugene, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Susan Blaker |
|---|---|
| Address | 1902 Jefferson St, Eugene, Oregon |
| Phone Number | 5412848882 |
| Fax Number | 5412842826 |
| Sole Proprietor | Y |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1104906981 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2017-11-28 |
Provider Mailing Address Detail
| Address | 1902 Jefferson St |
|---|---|
| City | Eugene |
| State | Oregon (OR) |
| Post Code | 974052414 |
| Phone Number | 5412848882 |
| Fax Number | 5412842826 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 090006820N1 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique identifier code issued to Debra Susan Blaker by the Centers for Medicare & Medicaid Services?
The Debra Susan Blaker has been assigned the NPI (National Provider Identifier) 1104906981. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Debra Susan Blaker is physically located?
The Debra Susan Blaker is physically situated at the following address: 1902 Jefferson St, Eugene, OR, 974052414.
What is Debra Susan Blaker's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Debra Susan Blaker is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date was the 1104906981 assigned to Debra Susan Blaker?
The Debra Susan Blaker was issued its 1104906981 on 2006-10-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Debra Susan Blaker most recently updated or revised?
The information pertaining to Debra Susan Blaker, including its address, specialty, and other relevant details, was last updated or revised on 2017-11-28.