Individual
MRS. HEATHER LYNAE HALLOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9775 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-5739
(503) 654-7546
Mailing address
20465 S SOUTH END RD, OREGON CITY, OR 97045-9759
(503) 333-8229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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