Individual
MS. HEATHER AMANDA OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1035 NW NORTHRUP ST, PORTLAND, OR 97209-3017
(971) 303-3770
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
52338
CA
363A00000X
Physician Assistant
Primary
PA195831
OR
363A00000X
Physician Assistant
PA60995977
WA
Other
Enumeration date
03/11/2015
Last updated
01/27/2026
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