Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | AP60703345 | WA |
NPI | 1073872313 |
---|---|
Provider Name | Heather Marie Mcgregor |
First Address | Portland, OR 97208-3360 |
Second Address | Everett, WA 98201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2012 |
Last Update Date | 17/06/2021 |