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General NPI Number Information
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NPI Number | 1669575692
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Entity Type | Individual
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Provider Name | DEBRA ANN GOLDSTEIN CNM
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 12607 S.E. MILL PLAIN BLVD.
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City | VANCOUVER
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State | WA
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Zip | 98684
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Country | US
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Telephone | 360-418-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 14104 N.W. 10TH COURT
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City | VANCOUVER
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State | WA
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Zip | 98685
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Country | US
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Telephone | 360-258-4928
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP30005883
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 077037780N1
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | AP30005883
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 077037780N5
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License Number State | OR
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