Individual
DEBRA MARY HEYBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
426 SW STARK ST, 5TH FLOOR, PORTLAND, OR 97204-2347
(503) 988-3674
(503) 988-3676
Mailing address
421 SW OAK ST., STE 210, PORTLAND, OR 97204
(503) 988-3663
(503) 988-4098
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
086006401N1
OR
Other
Enumeration date
01/19/2007
Last updated
10/15/2010
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