Individual
NICHOLAS M HEDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
(503) 873-1500
Mailing address
PO BOX 278, WOODBURN, OR 97071
(971) 983-5260
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201360015CRNA
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500671198
—
OR
Enumeration date
11/19/2010
Last updated
03/17/2018
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