MR. Scott Paul Heverly, HS

NPI #1851472542 in North Bend, Oregon

Provider Information

NPI Number: 1851472542
Entity Type: Individual
Name: MR. Scott Paul Heverly, HS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: HS
Enumeration Date: Oct 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2000 CONNECTICUT AVE
City: North Bend
State: Oregon
ZIP Code: 97459-2300
Phone: (541) 756-9236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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