Individual
MISS HEATHER GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
12100 SE STEVENS CT STE 106, CLACKAMAS, OR 97086-4707
(503) 353-7300
Mailing address
12100 SE STEVENS CT. SUITE 106, CLACKAMAS, OR 97086
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D00001989
WA
Other
Enumeration date
10/11/2006
Last updated
07/18/2007
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