Provider Demographics
NPI:1386786101
Name:AHEARN, DEBBIE (OTR)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:AHEARN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:
Other - Last Name:MCGRATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 50056
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-0967
Mailing Address - Country:US
Mailing Address - Phone:541-688-9595
Mailing Address - Fax:541-688-1818
Practice Address - Street 1:2866 CRESCENT AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97408-7342
Practice Address - Country:US
Practice Address - Phone:541-688-9595
Practice Address - Fax:541-688-1818
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR988571225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR800895101OtherREGENCE MEDADVANTAGE
OR230553Medicaid
ORP00396773OtherRAIL ROAD MEDICARE
OR838406001OtherREGENCE BLUE CROSS BLUE SHEILD
ORP00396773OtherRAIL ROAD MEDICARE
OR800895101OtherREGENCE MEDADVANTAGE