Individual
MRS. HEATHER MARY TONGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
110 CENTER AVE, MOLALLA, OR 97038
(503) 829-1400
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA162186
OR
363AM0700X
Medical Physician Assistant
660
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500659684
—
OR
Enumeration date
06/30/2006
Last updated
07/01/2021
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