Heller, Lisa Jill
Heller, Lisa Jill is an individual health care provider with primary practice located at 2855 Nw Crossing Dr Ste 102 , Bend OR 97703-7049. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Heller, Lisa Jill can be contacted via phone (541) 389-7741.Contact Information
Primary practice address
2855 Nw Crossing Dr Ste 102
Bend OR 97703-7049
Phone: (541) 389-7741
Fax: (541) 278-8375
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD26780 | Oregon |
Profile Details
NPI number | 1568518728 |
---|---|
LBN Legal business name | Heller, Lisa Jill |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 28th, 2007 |
Last updated | Sep 8th, 2023 - about last year |
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 | 1568518728 | NPPES |
Oregon | MEDICAID | 271144 |
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