Provider Demographics
NPI:1487831848
Name:HEUER, JESSE ALBERT (DO)
Entity Type:Individual
Prefix:DR
First Name:JESSE
Middle Name:ALBERT
Last Name:HEUER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1188
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97339-1188
Mailing Address - Country:US
Mailing Address - Phone:541-812-5570
Mailing Address - Fax:541-812-5699
Practice Address - Street 1:1700 GEARY ST SE STE 200
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97322-6842
Practice Address - Country:US
Practice Address - Phone:541-812-5570
Practice Address - Fax:541-812-5699
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2021-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN51587207Q00000X
ORDO202129207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine