Provider Demographics
NPI:1518433721
Name:CLINE, DEBORAH LEE (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LEE
Last Name:CLINE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:713 WALTERS MILL RD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-1423
Mailing Address - Country:US
Mailing Address - Phone:360-930-6535
Mailing Address - Fax:855-644-3001
Practice Address - Street 1:4660 NE 77TH AVE STE 308
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6705
Practice Address - Country:US
Practice Address - Phone:360-930-6535
Practice Address - Fax:855-644-3001
Is Sole Proprietor?:No
Enumeration Date:2018-10-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAP61016084363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health