Individual
HEATHER LEANN ADAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18040 SW LOWER BOONES FERRY RD, SUITE 100, TIGARD, OR 97224-7258
(503) 216-0700
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA156622
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500640963
—
OR
01
—
P01369931
RR MEDICARE - PHS
OR
Enumeration date
11/04/2011
Last updated
10/02/2020
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