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Individual

DENIS HEATHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
409 NW 131ST ST, VANCOUVER, WA 98685-2961

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
082010405CRNA
OR

Other

Enumeration date
08/15/2006
Last updated
07/08/2007
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