| Doctor Name: | DEBORAH MIZE |
| NPI Number: | 1063796001 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 200142114RN |
| Business Practice Address: | 1021 Lakeshore Rd Lake Oswego, OR - 970343708 |
| Business Phone Number: | 5036351928 |
| Business Fax Number: | |
| Mailing Address: | 1021 Lakeshore Rd, LAKE OSWEGO |
| State: | OR |
| Postal Code: | 970343708 |
| Phone Number: | 5036351928 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2011 |
| NPI Last Update Date: | 10/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 200142114RN |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |