Heather Lynn Grossklaus
Nurse Practitioner - Pediatrics
445 E Main St
Hillsboro
, Oregon 97123-4084
Heather Lynn Grossklaus
Nurse Practitioner - Pediatrics
445 E Main St
Hillsboro
, Oregon 97123-4084
(503) 640-9753
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Heather Lynn Grossklaus
- 300 Longwood Avenue Boston Children's Hospital Department Of Neurology
- Boston, MA
- Zip : 02115
- Fax : (503) 640-9753
- Phone : (617) 355-6388
Second Address
- Heather Lynn Grossklaus
- 445 E Main St
- Hillsboro, OR
- Zip : 97123-4084
- Fax : (503) 640-9753
- Phone : (503) 640-2757
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 201250133NP | OR |
National Provider Identifier
| NPI | 1033468079 |
|---|---|
| Provider Name | Heather Lynn Grossklaus |
| First Address | Boston, MA 02115 |
| Second Address | Hillsboro, OR 97123-4084 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2012 |
| Last Update Date | 19/01/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 500649381 | (05) | OR |
| R166444 | PTAN (01) |
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.