Individual
HEIDEN GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1218 ROSE LN, ASHLAND, OR 97520-7328
(541) 482-9331
Mailing address
1218 ROSE LN, ASHLAND, OR 97520-7328
(541) 482-9331
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200841335RN
OR
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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