Individual
SIMONE HEUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 N WILLIAMS AVE, PORTLAND, OR 97227-1885
(503) 238-2067
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10033611
OR
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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