Individual provider Active NPI

Deborah Hern Owen, MD

  • Obstetrics & Gynecology Physician
  • Vancouver, WA
National Provider Identifier
1225062946
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD60223685 Issued in WA
Practice address
505 NE 87TH Ave Ste 160
Vancouver, WA 98664-1965
Phone
(360) 514-1060
NPI assigned
Jul 10, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD60223685 WA Primary
Obstetrics & Gynecology Physician 207V00000X M8203 ID

Addresses

Primary practice location

505 NE 87TH Ave Ste 160
Vancouver, WA 98664-1965

Mailing address

420 N 2ND Ave
Suite 200
Sandpoint, ID 83864-1552
Phone (208) 263-2173

Other practice location 1

420 N 2nd Ave
Suite 200
Sandpoint, ID 83864-1552
Phone (208) 263-2173

Other identifiers 1

IdentifierTypeStateIssuer
806035200MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110902000619 WA Practitioner - Obstetrics/Gynecology 0648307918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Duke University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obstetrix Medical Group of Washington Inc PSGroup PAC ID 3577451947, 32 clinicians

Practice addresses (Care Compare)

800 W 5TH Ave
Spokane, WA 99204-2803
Phone 80024338397746

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M8203IDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Washington Inc PS Obstetrics & Gynecology CurrentSince Jul 1, 2011 Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Past Accepting new patients
Multicare Health System Past Accepting new patients
Sandpoint Women's Health, P.a. Obstetrics & Gynecology Past Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

770 The City Dr S
Ste 4000
Orange, CA 92868
Phone (800) 463-6628

900 Pacific Ave
Everett, WA 98201
Phone (425) 258-7900

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

1229 Madison St
Ste 1150
Seattle, WA 98104
Phone (206) 386-2101

1229 Madison St
Ste 750
Seattle, WA 98104
Phone (206) 386-2101

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1225062946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N 2ND AVE",
            "address_2": "SUITE 200",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641552",
            "telephone_number": "208-263-2173",
            "fax_number": "208-263-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NE 87TH AVE STE 160",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641965",
            "telephone_number": "360-514-1060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 N 2nd Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Sandpoint",
            "state": "ID",
            "postal_code": "838641552",
            "country_code": "US",
            "telephone_number": "208-263-2173",
            "fax_number": "208-263-7441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "DEBORAH",
        "middle_name": "HERN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD60223685",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ID",
            "license": "M8203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806035200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.