Devon Heisler
Pharmacy · Gresham, OR
Practice location
24800 SE Stark StGresham, OR 97030-3378
- Phone
- (503) 674-1122
NPI record
- NPI
- 1154984763
- Entity type
- Individual (Type 1)
- Enumeration date
- April 18, 2019
- Last updated
- April 18, 2019
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X |
PI-0012696 | OR |
Mailing address
2215 SE 37TH AvePortland, OR 97214-5819
- Phone
- (603) 903-3117
About Devon Heisler
Devon Heisler is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 24800 SE Stark St, Gresham, OR 97030-3378. The NPI number 1154984763 was assigned on April 18, 2019 and the record was last updated on April 18, 2019.
Devon Heisler lists a license in the registry: #PI-0012696 (OR) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Devon Heisler?
The NPI number is 1154984763.
What is the phone number of Devon Heisler?
The phone number listed for the practice location is (503) 674-1122.
Where is Devon Heisler located?
24800 SE Stark St, Gresham, OR 97030-3378.
What is the taxonomy code for Devon Heisler?
The primary taxonomy code is 333600000X – Pharmacy.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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