MS. DEBRA LEE MANDELBLATT PA
NPI 1144422965
Physician Assistant - Surgical in Portland, OR
About Ms. Debra Lee Mandelblatt Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. DEBRA LEE MANDELBLATT PA (NPI 1144422965) is an individual surgical provider in Portland, Oregon, licensed in Oregon (PA00526) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Debra Lee Mandelblatt Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Debra Mandelblatt's NPI number?
The NPI number for Debra Mandelblatt is 1144422965. It was assigned to this individual provider in the NPPES registry on June 4, 2007.
Where is Debra Mandelblatt located?
Debra Mandelblatt practices at 3710 SW Us Veterans Hospital Rd, Portland, OR 97239. The listed phone number is (503) 220-8262.
What is Debra Mandelblatt's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Debra Mandelblatt enrolled in Medicare?
Yes. Debra Mandelblatt is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Debra Mandelblatt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Debra Lee Mandelblatt, PA · NPI 1144422965
Surgical physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since June 4, 2007.
## Identity
- **NPI:** 1144422965 (Entity type: Individual)
- **Enumerated:** June 4, 2007
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA00526 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3710 SW US VETERANS HOSPITAL RD, Portland, OR 97239-2964
- **Phone:** (503) 220-8262
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1144422965) · Data from the CMS NPPES public registry.