Individual
HEATHER FAYE MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC, ANP-BC
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8925
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8925
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201400583NP-PP
OR
363L00000X
Nurse Practitioner
ARNP9233792
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
201400592NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
201400584NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001050700
—
FL
05
—
001050700
—
OR
Enumeration date
04/17/2009
Last updated
07/14/2014
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