Heather N Davidson PA-C

NPI 1023292547 - Physician Assistant - 363AM0700X

NPI Details
NPI 1023292547
Gender Female
Enumeration Date 12/19/2007
Last Updated 12/19/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
861 W MAIN STREET
MOLALLA OR, 97038, US
Phone (503) 829-7344
Fax (503) 829-7347
Business Location
861 W MAIN STREET
MOLALLA OR, 97038, US
Phone (503) 829-7344
Fax (503) 829-7347
Toxanomy
Taxonomy Code 363AM0700X
License State Oregon
License Number PA01297
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According to our database, Heather N Davidson PA-C NPI is 1023292547, taxonomy code is 363AM0700X and license number is PA01297, license state is located at Oregon. Heather N Davidson PA-C physically located at 861 W Main Street, Molalla OR, 97038. NPI Number Heather N Davidson PA-C has the Individual type.

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1023292547 NPI number is provided on an as is basis without warranty of any kind. 1023292547 is maintained by the National Plan & Provider Enumeration System. The contents of Heather N Davidson PA-C are for informational purposes only.