Individual
HEATHER AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
4531 SE BELMONT ST, STE 100, PORTLAND, OR 97215-1675
(503) 215-3986
Mailing address
4531 SE BELMONT ST, STE 100, PORTLAND, OR 97215-1675
(503) 215-3986
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
200940223
OR
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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