Individual
MRS. HEATHER M KITTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
11900 SW GREENBURG RD, TIGARD, OR 97223-6453
(503) 597-1215
Mailing address
1104 WESTERN AVE, SILVERTON, OR 97381-1018
(503) 989-7719
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
200950125NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201400012NP
OR
Other
Enumeration date
08/26/2009
Last updated
01/06/2014
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