DEBRAH A WONG FNP
NPI 1962495044
Nurse Practitioner - Family in Portland, OR

Active since August 24, 2005
1111 NE 99TH AVE, PORTLAND, OR 97220(503) 963-3030(503) 963-3005 Get Directions Write a Review

NPPES record last updated: August 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Debrah A Wong Fnp NPPES

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

DEBRAH A WONG FNP (NPI 1962495044) is an individual family provider in Portland, Oregon, licensed in Oregon (097006867N1 FNP-PP) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1962495044
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEBRAH A WONGCredential: FNP
Location Address1111 NE 99TH AVEPortland, OR 97220-9428
Mailing Address975 Se Sandy Blvd, Suite 200Portland, OR 97214-1308 · (503) 963-2846 · Fax (503) 963-9505
Fax(503) 963-3005
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateAugust 5, 2008
NPI 1962495044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 097006867N1 FNP-PP
1111 NE 99TH AVE, Portland, OR 97220

Other Identifiers 4

Medicare ID-Type UnspecifiedP121439OR
Medicare UPINS60860OR
Medicaid9643966WA
Medicaid276692OR

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.

Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220
Internal Medicine (Gastroenterology)
1111 NE 99TH AVE, SUITE 301
PORTLAND, OR 97220
Dietitian, Registered
1111 NE 99TH AVE
PORTLAND, OR 97220
Internal Medicine (Cardiovascular Disease)
1111 NE 99TH AVE, SUITE 201
PORTLAND, OR 97220
Internal Medicine (Gastroenterology)
1111 NE 99TH AVE
PORTLAND, OR 97220
Physical Therapist
1111 NE 99TH AVE
PORTLAND, OR 97220
Nurse Anesthetist, Certified Registered
1111 NE 99TH AVE, SUITE 302
PORTLAND, OR 97220
Clinic/Center (Endoscopy)
1111 NE 99TH AVE
PORTLAND, OR 97220

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 Debrah Wong's NPI number?

The NPI number for Debrah Wong is 1962495044. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Debrah Wong located?

Debrah Wong practices at 1111 NE 99th Ave, Portland, OR 97220. The listed phone number is (503) 963-3030.

What is Debrah Wong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Debrah Wong was last updated on August 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.