Most Relevant Information
Provider Data
| NPI Number: | 1003225525 |
| Provider Name: | HEIDI LEE BLAIR ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | A125704 |
Most Important Dates
| Enumeration Date: | 08/08/2014 |
| Last Updated: | 09/09/2022 |
Provider Practice Location
425 N SANTIAM HWY
LEBANON
OR
973554361
Practice Location Phone/Fax
| Phone: | 5414516960 |
| Fax: |
Provider Mailing Location
PO BOX 1193
CORVALLIS
OR
973391193
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |