Provider Demographics
NPI:1871030338
Name:HEUER, ASHLEY D (PA)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:D
Last Name:HEUER
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:1813 W HARVARD AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471-2752
Mailing Address - Country:US
Mailing Address - Phone:541-672-7546
Mailing Address - Fax:541-957-8446
Practice Address - Street 1:1813 W HARVARD AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471-2752
Practice Address - Country:US
Practice Address - Phone:541-672-7546
Practice Address - Fax:541-957-8446
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORPA181344363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant