Individual
MRS. HEIDI EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-4698
Mailing address
13260 SE 162ND AVE, HAPPY VALLEY, OR 97015-3800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201500831CRNA
OR
Other
Enumeration date
09/10/2012
Last updated
02/04/2022
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