Healthcare Provider Details

I. General information

NPI: 1386864643
Provider Name (Legal Business Name): DEBRA D SLAPPER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ALDER STREET
SOUTH BEND WA
98586
US

IV. Provider business mailing address

8512 NE SUNNYSIDE DR
VANCOUVER WA
98662-2893
US

V. Phone/Fax

Practice location:
  • Phone: 360-875-5526
  • Fax: 360-875-6167
Mailing address:
  • Phone: 360-882-6887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD00043255
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD13255
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: