Individual
MRS. PAYTON ELIZABETH HEILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8607
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(940) 237-4787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP137046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
392391401
—
TX
01
—
392391402
CSHCN
TX
01
—
8KB951
BCBS
TX
Enumeration date
06/04/2018
Last updated
07/22/2021
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