Active NPI
Debra King, PT
- Ph.D. Medical Genetics
- Vancouver, WA
National Provider Identifier
1861758955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- License
- 2405
- Practice address
- 9812 NE 26TH Ave
Vancouver, WA 98665-5716 - Phone
- (503) 473-1754
- NPI assigned
- Apr 3, 2012
- Last updated
- Apr 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | 2405 | OR | Primary |
Addresses
Primary practice location
9812 NE 26TH Ave
Vancouver, WA 98665-5716
Mailing address
9812 NE 26TH Ave
Vancouver, WA 98665-5716
Phone (503) 473-1754
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2405 | OR | MD | Ph.D. Medical Genetics |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1861758955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9812 NE 26TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986655716",
"telephone_number": "503-473-1754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9812 NE 26TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986655716",
"telephone_number": "503-473-1754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "DEBRA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-03",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "170100000X",
"taxonomy_group": "",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": "OR",
"license": "2405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.