Individual
GRACE HEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
876 NE 162ND AVE, PORTLAND, OR 97230-5765
(503) 262-0145
(503) 261-0988
Mailing address
16748 SW GLENEAGLE DR, APT 41, SHERWOOD, OR 97140-9649
(971) 237-9043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201600637RN
OR
Other
Enumeration date
06/04/2016
Last updated
06/04/2016
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