Heritage, Christine L

Heritage, Christine L is an individual health care provider with primary practice located at 353 Deadmond Ferry Rd , Springfield OR 97477-9406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Heritage, Christine L can be contacted via phone (541) 222-7750.

Contact Information

Primary practice address
353 Deadmond Ferry Rd Springfield OR 97477-9406
Phone: (541) 222-7750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 089006318N5 Oregon

Profile Details

NPI number 1215975313
LBN Legal business name Heritage, Christine L
Credentials NMNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Mar 9th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215975313 NPPES
Oregon MEDICAID 080205

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