DEBRA J MINCHOW ADULT/GERIATRIC NP NPI 1609876242

NPI Information

NPI: 1609876242
Provider Name: DEBRA J MINCHOW, ADULT/GERIATRIC NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
1010 SW COAST HWY STE 201
NEWPORT, OR
ZIP 97365
Phone: (541) 265-8816
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Debra J Minchow, ADULT/GERIATRIC NP is a gerontology nurse practitioner in Newport, OR. Debra J Minchow, ADULT/GERIATRIC NP NPI is 1609876242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1010 SW COAST HWY STE 201
NEWPORT, OR
ZIP 97365-240
Phone: (541) 265-8816

The enumeration date for this NPI number is 7/26/2005 and was last updated on 12/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	200550111NP	OREGON	No
2	363LG0600X	Nurse Practitioner	Gerontology	200550112NP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q53489	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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