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Individual

SHARON K HEATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
3001 DAGGETT AVE STE 101, KLAMATH FALLS, OR 97601-1126
(541) 274-3278
(541) 274-3275
Mailing address
PO BOX 2120, PORTLAND, OR 97208-2120
(541) 274-3278
(541) 274-3275

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200350051NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
298908
OR
01
P00063700
RAILROAD MEDICARE
Enumeration date
12/21/2006
Last updated
04/14/2023
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