Healthcare Provider Details

I. General information

NPI: 1376510008
Provider Name (Legal Business Name): DEBRA TRIPLEHORN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2775 SW 17TH PL
REDMOND OR
97756-1254
US

IV. Provider business mailing address

2775 SW 17TH PL
REDMOND OR
97756-1254
US

V. Phone/Fax

Practice location:
  • Phone: 541-504-6010
  • Fax: 541-615-9305
Mailing address:
  • Phone: 907-460-4498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number693
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1659
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: