Active NPI
Debdeep Nath, N.P.
- Pediatric Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 201606039NP-PP
- Practice address
- 10260 SW Greenburg Rd FL 4
Portland, OR 97223-5500 - Phone
- (971) 334-1381
- Fax
- (503) 300-5388
- NPI assigned
- Dec 1, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 201606039NP-PP | OR | Primary |
Addresses
Primary practice location
10260 SW Greenburg Rd FL 4
Portland, OR 97223-5500
Mailing address
10260 SW Greenburg Rd FL 4
Portland, OR 97223-5500
Phone (971) 334-1381
Other practice location 1
8770 SW Scoffins St
Tigard, OR 97223-6226
Phone (503) 684-1424
Other practice location 2
1308 NW 20th Ave Ste 12
Portland, OR 97209-1607
Phone (971) 334-1381
Other practice location 3
10300 SW Greenburg Rd Ste 240
Portland, OR 97223-5414
Phone (503) 206-6285
Other practice location 4
1308 NW 20th Ave Ste 12
Portland, OR 97209-1607
Phone (971) 334-1381
Other practice location 5
12225 SW 2nd St Ste 150
Beaverton, OR 97005
Phone (971) 334-1381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201606039NP-PP | OR | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Counseling Collective LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Beaverton, OR
- NPI 1942781943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1164829578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10260 SW GREENBURG RD FL 4",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972235500",
"telephone_number": "971-334-1381",
"fax_number": "503-300-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10260 SW GREENBURG RD FL 4",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972235500",
"telephone_number": "971-334-1381",
"fax_number": "503-300-5388"
}
],
"practiceLocations": [
{
"address_1": "8770 SW Scoffins St",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "972236226",
"country_code": "US",
"telephone_number": "503-684-1424",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1308 NW 20th Ave Ste 12",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972091607",
"country_code": "US",
"telephone_number": "971-334-1381",
"fax_number": "503-296-2102",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10300 SW Greenburg Rd Ste 240",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972235414",
"country_code": "US",
"telephone_number": "503-206-6285",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1308 NW 20th Ave Ste 12",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972091607",
"country_code": "US",
"telephone_number": "971-334-1381",
"fax_number": "503-296-2102",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12225 SW 2nd St Ste 150",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "97005",
"country_code": "US",
"telephone_number": "971-334-1381",
"fax_number": "503-300-5388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NATH",
"first_name": "DEBDEEP",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-01",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OR",
"license": "201606039NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Evelyn C. Nast, PH.D.
- Anthony Natale
- Natalya Juson D.M.D., LLC
- Ulaganathan Natarajan, MD MPH
- Divya Vembanur Natesan, MD
- Nathan C. Pool Chiropractic Clinic, Inc (pool chiropractic clinic)
- National College of Natural Medicine
- National College of Natural Medicine (Natural Health Centers)
- National College of Natural Medicine
- National University of Natural Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.