Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | OR |
NPI | 1760689830 |
---|---|
Provider Name | Ms. Heather Ann Linnemeyer |
First Address | Merlin, OR 97532-9720 |
Second Address | Grants Pass, OR 97526-1632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 08/07/2007 |