| Doctor Name: | DEBRA R GORE |
| NPI Number: | 1306984646 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | MD00041518 |
| Business Practice Address: | 322 W North River Dr Spokane, WA - 992013208 |
| Business Phone Number: | 5093246464 |
| Business Fax Number: | |
| Mailing Address: | Po Box 34584, SEATTLE |
| State: | WA |
| Postal Code: | 981241584 |
| Phone Number: | 5092417349 |
| Fax Number: | 5092417628 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 07/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00041518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |