Healthcare Provider Details

I. General information

NPI: 1669477451
Provider Name (Legal Business Name): DEBORAH C GAEBLER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 SOUTHCENTER BLVD
TUKWILA WA
98188-2442
US

IV. Provider business mailing address

615 W TITUS ST
KENT WA
98032-5749
US

V. Phone/Fax

Practice location:
  • Phone: 206-458-3963
  • Fax:
Mailing address:
  • Phone: 206-302-2200
  • Fax: 206-302-2210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberAP3005789
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP30005789
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP30005789
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: