Individual
HEATHER M. DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
Mailing address
1111 NE TILLAMOOK, NO. 4, PORTLAND, OR 97212
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
22406
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231983
—
OR
Enumeration date
09/20/2006
Last updated
07/08/2007
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