Individual
DR. HEATHER ELIZABETH MERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST, STE 6N50, PORTLAND, OR 97213-2933
(503) 215-2300
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A122524
CA
208600000X
Surgery Physician
ML20007230
WA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A122524
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD174227
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500690320
—
OR
Enumeration date
08/30/2006
Last updated
03/22/2021
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