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Contact Information

HEATHER R HOLMES, MD
2564 NW EDENBOWER BLVD, SUITE 126
ROSEBURG, OR97471
 Phone: 541-672-7718
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HEATHER R HOLMES · (Female)

NPI Number 1124339544
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2010
Last updated 02/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD166592
  • TX License # BP10037211
  • TX License # P5381
  • OR Medicaid 500674045
Hospital affiliation(s)
  • MERCY MEDICAL CENTER - (Acute Care)
    2700 NW STEWART PARKWAY
    ROSEBURG, OR 97471
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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