Individual
DORIS J HETHCOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
213 NW LARCH AVE, SUITE A, REDMOND, OR 97756-1323
(541) 526-6635
(541) 526-6636
Mailing address
213 NW LARCH AVE, SUITE A, REDMOND, OR 97756-1323
(541) 526-6635
(541) 526-6636
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
090006054N7
OR
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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