Heron, Unknown

Heron, Unknown is an sole proprietor health care provider with primary practice located at 3828 N Kiska Ct , Portland OR 97217-7342. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Heron, Unknown can be contacted via phone (503) 285-4339.

Contact Information

Primary practice address
3828 N Kiska Ct Portland OR 97217-7342
Phone: (503) 285-4339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X Oregon

Profile Details

NPI number 1831265479
LBN Legal business name Heron, Unknown
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2006
Last updated Jul 8th, 2007 - about 19 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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