Selis, Heather Conroy

Selis, Heather Conroy is an individual health care provider with primary practice located at 5050 Ne Hoyt St. Suite B55, Portland OR 97213-2984. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Selis, Heather Conroy can be contacted via phone (503) 233-5393.

Contact Information

Primary practice address
5050 Ne Hoyt St. Suite B55 Portland OR 97213-2984
Phone: (503) 233-5393
Fax: (503) 659-8984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 93006586NZ Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 093006586N2 Oregon

Profile Details

NPI number 1679734719
LBN Legal business name Selis, Heather Conroy
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2008
Last updated Feb 27th, 2012 - about 13 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 1679734719 NPPES
Oregon MEDICAID 500639814

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