Provider Demographics
NPI:1457126112
Name:CONLEY, DEBORA JANE (MSN RN)
Entity type:Individual
Prefix:MRS
First Name:DEBORA
Middle Name:JANE
Last Name:CONLEY
Suffix:
Gender:F
Credentials:MSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 VALLEY RIVER DR STE 385
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2132
Mailing Address - Country:US
Mailing Address - Phone:808-554-9685
Mailing Address - Fax:
Practice Address - Street 1:1600 VALLEY RIVER DR STE 385
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2132
Practice Address - Country:US
Practice Address - Phone:808-554-9685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200742477RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse