Provider Demographics
NPI:1841855418
Name:OCHSNER, DEBORAH JEAN (LMT)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JEAN
Last Name:OCHSNER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1412 NE 134TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-2720
Mailing Address - Country:US
Mailing Address - Phone:360-574-6594
Mailing Address - Fax:360-574-2235
Practice Address - Street 1:1412 NE 134TH ST STE 100
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-2720
Practice Address - Country:US
Practice Address - Phone:360-574-6594
Practice Address - Fax:360-574-2235
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-08
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00006465225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMA00006465OtherWASHINGTON STATE DEPARTMENT OF HEALTH