IndividualActive
Addison Deboer
NPI 1679394126 · Medical Physician Assistant · Salem, OR
Provider details
- NPI number
- 1679394126
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4999 Skyline Rd S
Salem, OR 97306-2878
Phone: (503) 364-4005
Fax: (503) 364-4006
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1517
Pendleton, OR 97801-0410
Registry dates
- Enumerated
- 2024-10-17
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.