HEIDI SUSANNE DYER

Address: 29345 Sw Town Center Loop E, Suite 110, Wilsonville, OR 97070-8486
Phone: 5035822100

HEIDI SUSANNE DYER (NPI# 1922150580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922150580
Entity Type 1 - Individual
Full Name HEIDI SUSANNE DYER
Credential P.A.
Practice Address 29345 Sw Town Center Loop E
Suite 110
Wilsonville
OR 97070-8486
Mailing Address Po Box 3158
Portland
OR 97208-3158
Practice Telephone 5035822100
Enumeration Date 01/16/2007
Last Update Date 08/27/2013
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA01447 OR Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA652 ID Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 500609968 05

Office Location

Street Address 29345 SW TOWN CENTER LOOP E
SUITE 110
City WILSONVILLE
State OR
Zip Code 97070-8486

Providers with the same location

NPI Name Address
1740216472 POMPY Z GOSWAMI 29345 Sw Town Center Loop E, Suite 110, Wilsonville, OR 97070-9465
1821179151 DR. TERRY L DAVIS 29345 Sw Town Center Loop E, Suite 110, Wilsonville, OR 97070-8486
1245489087 PROVIDENCE HEALTH & SERVICES - OREGON 29345 Sw Town Center Loop E, Suite 110, Wilsonville, OR 97070-8486
1629365382 ARMASABILLE NAVALON ERMITA 29345 Sw Town Center Loop E, Suite 110, Wilsonville, OR 97070-8486
1487929741 OREGON SPORTS MEDICINE ASSOCIATES 29345 Sw Town Center Loop E, Suite 211, Wilsonville, OR 97070-8486

Competitor

Search similar physicians

City WILSONVILLE
Zip Code 97070

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.