Individual
MRS. HEATHER MARIE MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2095 EXCHANGE ST STE 301, ASTORIA, OR 97103-3400
(503) 338-4087
(503) 338-4091
Mailing address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
089003393RN
OR
363L00000X
Nurse Practitioner
Primary
200850106NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500601876
—
OR
Enumeration date
08/21/2007
Last updated
02/23/2022
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