Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 0.36.135814 | IL |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD207219 | OR |
NPI | 1770865305 |
---|---|
Provider Name | Dr. Bhumy Dave Heliker |
First Address | Portland, OR 97232-2686 |
Second Address | Portland, OR 97213-2983 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2011 |
Last Update Date | 15/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
500799028 | (05) | OR |