| Doctor Name: | MRS. DEBORAH J VENCILL |
| NPI Number: | 1366430670 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 079042283N1 |
| Business Practice Address: | 3950 17th St Suite A Baker City, OR - 978141300 |
| Business Phone Number: | 5415231001 |
| Business Fax Number: | |
| Mailing Address: | 190 E Bannock St, BOISE |
| State: | ID |
| Postal Code: | 837126241 |
| Phone Number: | 2083812222 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2005 |
| NPI Last Update Date: | 09/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 079042283N1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |