Individual
MS. HEATHER WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1125 SE WASHINGTON ST, PULLMAN, WA 99164-8803
(509) 335-3575
(509) 335-6223
Mailing address
PO BOX 5920, EUGENE, OR 97405-0911
(307) 660-3707
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA158537
OR
363AM0700X
Medical Physician Assistant
1098019
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1098019
NCCPA
—
Enumeration date
06/20/2011
Last updated
02/16/2021
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