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Contact Information

DEBORA W OVERSTREET, MD
7210 40TH ST W
STE 100
UNIVERSITY PLACE, WA98466-4237
 Phone: 253-564-0170
 Fax: 253-207-4240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DEBORA W OVERSTREET · (Female)

NPI # 1841201589
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2006
Last updated 11/23/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00034281
  • WA Medicaid 8198616
  • WA Other 8930013 CRIME VICTIMS
  • WA Other 126520 L & I
  • WA Other 370013716 RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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