Individual
HEATHER MARIE RICART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-3633
Mailing address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-3633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14185237-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
09/05/2022
Last updated
12/08/2025
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