Individual
HEIDI R BOERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2300 NE BROADWAY ST, PORTLAND, OR 97232-1611
(503) 284-2300
(503) 284-2347
Mailing address
2300 NE BROADWAY ST, PORTLAND, OR 97232-1611
(503) 284-2300
(503) 284-2347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2721ATI
OR
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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