Provider Demographics
NPI:1922372259
Name:CURRIE, DEBRA (LAC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:CURRIE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22115 NW IMBRIE DR
Mailing Address - Street 2:175
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-6988
Mailing Address - Country:US
Mailing Address - Phone:503-348-5259
Mailing Address - Fax:
Practice Address - Street 1:315 E MAIN ST
Practice Address - Street 2:303
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4167
Practice Address - Country:US
Practice Address - Phone:503-348-5259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC157056171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist