Farmer, Heather Dawn
Farmer, Heather Dawn is an individual health care provider with primary practice located at 10100 Se Sunnyside Rd , Clackamas OR 97015-8970. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Farmer, Heather Dawn can be contacted via phone (800) 813-2000.Contact Information
Primary practice address
10100 Se Sunnyside Rd
Clackamas OR 97015-8970
Phone: (800) 813-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA156605 | Oregon |
Profile Details
| NPI number | 1508197948 |
|---|---|
| LBN Legal business name | Farmer, Heather Dawn |
| Credentials | MMS, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2010 |
| Last updated | Dec 22nd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508197948 | NPPES |
| Oregon | Other | PA156605 | STATE LICENSE |
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