Individual
AMBER DAWN HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 NW 6TH ST, GRANTS PASS, OR 97526-1525
(541) 237-5067
(541) 479-2370
Mailing address
806 NW 6TH ST, GRANTS PASS, OR 97526-1525
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175T00000X
—
OR
Enumeration date
07/30/2018
Last updated
07/30/2018
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