Healthcare Provider Details

I. General information

NPI: 1376465161
Provider Name (Legal Business Name): DEBORAH PAULA LIM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 5TH ST SE STE 1100
PUYALLUP WA
98372-4682
US

IV. Provider business mailing address

1450 5TH ST SE STE 1100
PUYALLUP WA
98372-4682
US

V. Phone/Fax

Practice location:
  • Phone: 253-572-7320
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP.AP.70150030-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: