Individual
HEIDI ELIZABETH SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
8995 SW MILEY RD STE 204, WILSONVILLE, OR 97070-5486
(503) 694-8600
Mailing address
14713 SE PAGE PARK CT, HAPPY VALLEY, OR 97086-4258
(208) 608-1702
(503) 966-1177
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
201941
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201941
NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING
—
Enumeration date
05/07/2021
Last updated
04/26/2026
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