| Doctor Name: | DEBBI L STAATS |
| NPI Number: | 1316984156 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA00645 |
| Business Practice Address: | 783 W Central Sutherlin, OR - 974799472 |
| Business Phone Number: | 5414593500 |
| Business Fax Number: | 5414594040 |
| Mailing Address: | 1813 W Harvard Ave, Ste 201 ROSEBURG |
| State: | OR |
| Postal Code: | 974712754 |
| Phone Number: | 5414406390 |
| Fax Number: | 5414406392 |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 11/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA00645 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |