| Doctor Name: | HEATHER LYNN GROSSKLAUS |
| NPI Number: | 1033468079 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 201250133NP |
| Business Practice Address: | 445 E Main St Hillsboro, OR - 971234084 |
| Business Phone Number: | 5036402757 |
| Business Fax Number: | 5036409753 |
| Mailing Address: | 300 Longwood Avenue Boston Children's Hospital, Department Of Neurology BOSTON |
| State: | MA |
| Postal Code: | 02115 |
| Phone Number: | 6173556388 |
| Fax Number: | 5036409753 |
| NPI Enumeration Date: | 09/06/2012 |
| NPI Last Update Date: | 01/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 201250133NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |