Provider Demographics
NPI:1467415059
Name:PAAR, HEATHER S (CNM, ARNP)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:S
Last Name:PAAR
Suffix:
Gender:F
Credentials:CNM, ARNP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:S
Other - Last Name:HORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5955 42ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1607
Mailing Address - Country:US
Mailing Address - Phone:206-322-5415
Mailing Address - Fax:
Practice Address - Street 1:2115 S 56TH ST
Practice Address - Street 2:SUITE 301
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-6902
Practice Address - Country:US
Practice Address - Phone:253-471-3193
Practice Address - Fax:253-471-3141
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006839367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9645417Medicaid
WA9645417Medicaid
8854728Medicare PIN