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Individual

HEATHER DAWN FOSSMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CHW

Contact information

Practice address
2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
(541) 383-3005
(541) 383-1883
Mailing address
600 SW COLUMBIA ST STE 6250, BEND, OR 97702-1099
(541) 383-3005
(541) 383-1883

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
HCI000108207
OR

Other

Enumeration date
04/25/2023
Last updated
04/25/2023
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