Provider Demographics
NPI:1225180524
Name:GABRIEL, DEBORAH KAY (RN, BSN, CRNFA)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:KAY
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:RN, BSN, CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 DEBRA CT NW
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-2403
Mailing Address - Country:US
Mailing Address - Phone:503-316-1970
Mailing Address - Fax:503-391-7422
Practice Address - Street 1:1218 DEBRA CT NW
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97304-2403
Practice Address - Country:US
Practice Address - Phone:503-316-1970
Practice Address - Fax:503-391-7422
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0030932163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse