Individual
HEATHER CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MULLINS DR, LEBANON, OR 97355-3983
(541) 259-0200
Mailing address
1154 SW SYLVIA ST, CORVALLIS, OR 97333-3702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PG194052
OR
Other
Enumeration date
04/22/2017
Last updated
12/20/2023
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