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Individual

MS. HEATHER L. BARRACLOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
850 SISKIYOU BLVD STE 8, ASHLAND, OR 97520-2125
(541) 906-3113
Mailing address
264 MEADOW DR, ASHLAND, OR 97520-3765
(415) 519-9444

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
202112847NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
202112847NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841954641
OR
Enumeration date
10/27/2021
Last updated
10/09/2024
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