Jesse Edward Vander Heide
Jesse Edward Vander Heide is an Ambulatory Care Registered Nurse in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2020
Practice location Address checks out
3181 SW Sam Jackson Park RdPortland, OR 97239-3011
Phone: (503) 494-3273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Care Registered Nurse (primary) | Taxonomy 163WP2201X · Licence 200441630RN (OR) |
|---|
Record details
| NPI number | 1083240295 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 19, 2020 |
| Last updated in NPPES | March 19, 2020 |
| Certification date | March 19, 2020 |
| Mailing address | 4230 Sw Chesapeak Ave, Portland, OR 97239-1345 |
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