Individual
HEATHER POORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 3RD ST NW, SALEM, OR 97304-4007
(503) 588-3600
Mailing address
4426 JADE ST NE, SALEM, OR 97305-2233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201142607RN
OR
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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