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BRENT M DEBOLT LPN
NPI 1235434341
Licensed Practical Nurse in Vancouver, WA

Active since January 20, 2011
2314 E 13TH ST, VANCOUVER, WA 98661(503) 709-7122 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brent M Debolt Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENT M DEBOLT LPN (NPI 1235434341) is an individual licensed practical nurse in Vancouver, Washington, licensed in Washington (LP60203433) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1235434341
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameBRENT M DEBOLTCredential: LPN
Location Address2314 E 13TH STVancouver, WA 98661-4122
Mailing Address2314 E 13th StVancouver, WA 98661-4122 · (503) 709-7122
Phone(503) 709-7122
Sole ProprietorYes
Enumeration DateJanuary 20, 2011
✔ NPI 1235434341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WA · LP60203433
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2314 E 13TH ST, Vancouver, WA 98661
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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 Brent Debolt's NPI number?

The NPI number for Brent Debolt is 1235434341. It was assigned to this individual provider in the NPPES registry on January 20, 2011.

Where is Brent Debolt located?

Brent Debolt practices at 2314 E 13th St, Vancouver, WA 98661. The listed phone number is (503) 709-7122.

What is Brent Debolt's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Brent Debolt was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.