Provider Demographics
NPI:1003467259
Name:MAGEE, DEBRA LEE
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:LEE
Last Name:MAGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15950 NW FOXBOROUGH CIR
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-6358
Mailing Address - Country:US
Mailing Address - Phone:503-810-8584
Mailing Address - Fax:
Practice Address - Street 1:15950 NW FOXBOROUGH CIR
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-6358
Practice Address - Country:US
Practice Address - Phone:503-810-8584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider