Provider Demographics
NPI:1265456172
Name:BROWN, DEBORAH J (PA-C)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:BROWN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:3800 SUMMITVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-2715
Mailing Address - Country:US
Mailing Address - Phone:509-248-3263
Mailing Address - Fax:509-225-2702
Practice Address - Street 1:4003 CREEKSIDE LOOP
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3959
Practice Address - Country:US
Practice Address - Phone:509-248-3263
Practice Address - Fax:509-225-2702
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2014-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPA10003453363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical