Healthcare Provider Details

I. General information

NPI: 1174840391
Provider Name (Legal Business Name): DEBORAH LENORE RIEF-ADAMS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBBIE LENORE RIEF FNP

II. Dates (important events)

Enumeration Date: 04/28/2010
Last Update Date: 04/24/2020
Certification Date: 04/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2042 NE WILLIAMSON COURT
BEND OR
97701
US

IV. Provider business mailing address

2965 NE CONNERS AVE STE 127
BEND OR
97701-7753
US

V. Phone/Fax

Practice location:
  • Phone: 541-706-6905
  • Fax: 541-371-4580
Mailing address:
  • Phone: 541-706-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201050022NP
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number201050022NP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: