Individual
MRS. HEATHER DAWN FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(800) 813-2000
Mailing address
7315 NE 105TH AVE, VANCOUVER, WA 98662-4694
(360) 362-9271
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA156605
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA156605
STATE LICENSE
OR
Enumeration date
01/25/2010
Last updated
12/22/2021
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