Debra Ross, is a
Peer Specialist based in Salem, Oregon. Debra Ross is licensed to practice in Oregon (license number 19-CGRM-001) and her current practice location is
3325 Harold Dr Ne, Salem, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 363-2021.
NPI number for Debra Ross is 1992364566 and her current mailing address is Po Box 17818, Salem, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992364566.
Healthcare Provider's Profile
| Full Name | Debra Ross |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 3325 Harold Dr Ne, Salem, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1992364566
- Provider Enumeration Date: 06/07/2019
- Last Update Date: 06/07/2019
Medical Identifiers
Medical identifiers for Debra Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992364566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19-03-08 (Oregon) | Secondary |
| 175T00000X | Peer Specialist | 19-CGRM-001 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Debra Ross is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Debra Ross,
Po Box 17818,
Salem, OR 97305-7818
Ph: (503) 363-2021 | Debra Ross,
3325 Harold Dr Ne,
Salem, OR 97305-1339
Ph: (503) 363-2021 |
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