Most Relevant Information
Provider Data
| NPI Number: | 1003314766 |
| Provider Name: | HEATHER MARIE FRIEND |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 200541213RN |
Most Important Dates
| Enumeration Date: | 01/29/2018 |
| Last Updated: | 01/19/2023 |
Provider Practice Location
3156 STATE ST
MEDFORD
OR
975048450
Practice Location Phone/Fax
| Phone: | 5417739772 |
| Fax: | 5417731113 |
Provider Mailing Location
3156 STATE ST
MEDFORD
OR
975048450
Provider Mailing Phone/Fax
| Phone: | 5417739772 |
| Fax: | 5417731113 |