Kirsten Anne Heron PA-C

NPI 1083685408 - Physician Assistant - 363A00000X

NPI Details
NPI 1083685408
Gender Female
Enumeration Date 02/01/2006
Last Updated 08/06/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
2564 NE COURTNEY DR
BEND OR, 97701-7638, US
Phone (541) 678-5277
Fax
Business Location
2724 NW RAINBOW RIDGE DR
BEND OR, 97701-8722, US
Phone (541) 678-5277
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Oregon
License Number PA00936
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According to our database, Kirsten Anne Heron PA-C NPI is 1083685408, taxonomy code is 363A00000X and license number is PA00936, license state is located at Oregon. Kirsten Anne Heron PA-C physically located at 2564 Ne Courtney Dr, Bend OR, 97701-7638. NPI Number Kirsten Anne Heron PA-C has the Individual type.

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1083685408 NPI number is provided on an as is basis without warranty of any kind. 1083685408 is maintained by the National Plan & Provider Enumeration System. The contents of Kirsten Anne Heron PA-C are for informational purposes only.