Individual
MISS HEATHER ELIZABETH LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2300 NE NEFF RD, BEND, OR 97701-6577
(541) 383-3005
(541) 383-1883
Mailing address
2300 NE NEFF RD, BEND, OR 97701-6577
(541) 330-9001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
19158
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
201250214NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500670847
—
OR
Enumeration date
10/12/2009
Last updated
12/22/2022
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