# DORI HEALEY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Idaho Outreach Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770279606
- **Authorized official:** HEATHER BEARD (MANAGER)
- **Authorized official phone:** (208) 550-3112

## Contact information

- **Practice address:** 12404 W VIEW RIDGE DR, BOISE, ID 83709-0009
- **Practice address phone:** (208) 550-3112
- **Mailing address:** 12404 W VIEW RIDGE DR, BOISE, ID 83709-0009
- **Mailing address phone:** (208) 550-3112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SA2200X | Adult Health Clinical Nurse Specialist | — | NULL | Yes |
| 364SA2200X | Adult Health Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2023
- **Last updated:** 01/16/2025