Provider Demographics
NPI:1073833448
Name:DEBBIE RIEF FNP LLC
Entity Type:Organization
Organization Name:DEBBIE RIEF FNP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEF
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:541-548-6505
Mailing Address - Street 1:413 NW LARCH AVE
Mailing Address - Street 2:#203
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-1361
Mailing Address - Country:US
Mailing Address - Phone:541-548-6505
Mailing Address - Fax:541-526-6665
Practice Address - Street 1:413 NW LARCH AVE
Practice Address - Street 2:#203
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-1361
Practice Address - Country:US
Practice Address - Phone:541-548-6505
Practice Address - Fax:541-526-6665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201050022NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty