Individual
HEIDI LIND HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
325 SW UPPER TERRACE DR STE 100, BEND, OR 97702-1900
(541) 330-0900
Mailing address
325 SW UPPER TERRACE DR STE 100, BEND, OR 97702-1900
(541) 330-0900
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
165104
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500666417
—
OR
Enumeration date
09/26/2013
Last updated
03/02/2023
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