Individual
HEATHER PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, RNC
Contact information
Practice address
996 NW CIRCLE BLVD STE 103, CORVALLIS, OR 97330-1485
(541) 768-4370
Mailing address
996 NW CIRCLE BLVD STE 103, CORVALLIS, OR 97330-1485
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
201390459RN
OR
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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