Heskett, Tammy Alyce

Heskett, Tammy Alyce is an individual health care provider with primary practice located at 2801 N Gantenbein Ave Dept Of Pediatrics, Portland OR 97227-1623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Heskett, Tammy Alyce can be contacted via phone (503) 413-2042.

Contact Information

Primary practice address
2801 N Gantenbein Ave Dept Of Pediatrics Portland OR 97227-1623
Phone: (503) 413-2042
Fax: (503) 413-2566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD15616 Oregon

Profile Details

NPI number 1831116862
LBN Legal business name Heskett, Tammy Alyce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831116862 NPPES
Oregon MEDICAID 065628

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