Individual
HEATHER L MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1515 NW 18TH AVE STE 300, PORTLAND, OR 97209-2539
(503) 224-8399
Mailing address
1515 NW 18TH AVE, STE 300, PORTLAND, OR 97209-2539
(503) 224-8399
(503) 224-5661
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA178920
OR
Other
Enumeration date
10/07/2014
Last updated
05/19/2021
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