Provider Demographics
NPI:1689876427
Name:SCHAAL, DEBORAH LYNN (LMP)
Entity Type:Individual
Prefix:MISS
First Name:DEBORAH
Middle Name:LYNN
Last Name:SCHAAL
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9750 NE 120TH PL
Mailing Address - Street 2:SUITE 2
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4282
Mailing Address - Country:US
Mailing Address - Phone:425-820-1900
Mailing Address - Fax:425-821-1802
Practice Address - Street 1:9750 NE 120TH PL
Practice Address - Street 2:SUITE 2
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4282
Practice Address - Country:US
Practice Address - Phone:425-820-1900
Practice Address - Fax:425-821-1802
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00024133174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist