Doctor Name: | MRS. HEATHER DAWN FARMER |
NPI Number: | 1508197948 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MMS, PA-C |
License Number: | PA156605 |
Business Practice Address: | 230 Rowe Street Wheeler, OR - 97147 |
Business Phone Number: | 5033685182 |
Business Fax Number: | |
Mailing Address: | 14305 Ne 94th St, VANCOUVER |
State: | WA |
Postal Code: | 986823083 |
Phone Number: | 3603629271 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2010 |
NPI Last Update Date: | 12/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA156605 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |