Charles H Heffron JR.
Gynecologist
12303 Ne 130th Ln Suite 420
Kirkland
, Washington 98034-3099
Charles H Heffron JR.
Gynecologist
12303 Ne 130th Ln Suite 420
Kirkland
, Washington 98034-3099
(425) 899-4490
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Charles H Heffron JR.
- 12303 Ne 130th Ln Suite 420
- Kirkland, WA
- Zip : 98034-3099
- Fax : (425) 899-4490
- Phone : (425) 899-6400
Second Address
- Charles H Heffron JR.
- 12303 Ne 130th Ln Suite 420
- Kirkland, WA
- Zip : 98034-3099
- Fax : (425) 899-4490
- Phone : (425) 899-6400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | MD19146 | WA |
National Provider Identifier
| NPI | 1154438463 |
|---|---|
| Provider Name | Charles H Heffron JR. |
| First Address | Kirkland, WA 98034-3099 |
| Second Address | Kirkland, WA 98034-3099 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2006 |
| Last Update Date | 09/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1927508 | (05) | WA |
| A04695 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.