Individual
DR. HEIDI J. BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-4069
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(360) 486-6508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00131557
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30005713
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155906
LABOR & INDUSTRY
WA
01
—
53188U
REGENCE BLUESHIELD
WA
05
—
9633033
—
WA
Enumeration date
05/11/2006
Last updated
02/14/2023
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