Individual
HEATHER REBECCA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2564 NW EDENBOWER BLVD, SUITE 126, ROSENBURG, OR 97471
(541) 672-7718
Mailing address
2564 NW EDENBOWER BLVD, SUITE 126, ROSENBURG, OR 97471
(541) 672-7718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10037211
TX
207Q00000X
Family Medicine Physician
Primary
MD166592
OR
207Q00000X
Family Medicine Physician
P5381
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500674045
—
OR
Enumeration date
06/30/2010
Last updated
02/21/2023
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