Provider Demographics
NPI:1538716154
Name:READ, DEANNA (CPNP-PC)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:READ
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CPNP-PC
Mailing Address - Street 1:11220 NW 325TH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PLAINS
Mailing Address - State:OR
Mailing Address - Zip Code:97133-8161
Mailing Address - Country:US
Mailing Address - Phone:503-980-8189
Mailing Address - Fax:
Practice Address - Street 1:8333 SE 13TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-7101
Practice Address - Country:US
Practice Address - Phone:503-595-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-19
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OR202009367NP-PP208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program