Heron, Kirsten Anne
Heron, Kirsten Anne is an individual health care provider with primary practice located at 2564 Ne Courtney Dr , Bend OR 97701-7638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Heron, Kirsten Anne can be contacted via phone (541) 678-5277.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00936 | Oregon |
Profile Details
| NPI number | 1083685408 |
|---|---|
| LBN Legal business name | Heron, Kirsten Anne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083685408 | NPPES |
| Oregon | MEDICAID | 500622201 | |
| Oregon | Other | PA00936 |
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