Provider Demographics
NPI:1801529888
Name:SUGGS, DEBORAH A (NP-PP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:A
Last Name:SUGGS
Suffix:
Gender:F
Credentials:NP-PP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 387
Mailing Address - Street 2:
Mailing Address - City:MAPLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97453-0387
Mailing Address - Country:US
Mailing Address - Phone:360-751-6589
Mailing Address - Fax:
Practice Address - Street 1:400 9TH ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:OR
Practice Address - Zip Code:97439-7398
Practice Address - Country:US
Practice Address - Phone:541-997-8412
Practice Address - Fax:541-902-1320
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200942428RN163W00000X
OR202213866NP-PP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse