Individual
MAYLAND CHAN HEYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 255-4205
Mailing address
4509 NORTH NEWARK STREET, PORTLAND, OR 97203-2859
(503) 442-2924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200940206RN
OR
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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