IndividualActive
Brandy Heaton
NPI 1396989505 · Nurse's Aide · Clackamas, OR
Provider details
- NPI number
- 1396989505
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 200310351CNA (OR)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
10180 Se Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 571-4340
Fax: (503) 571-8521
Approximate (ZIP-level) locationGet directions
Mailing address
10180 Se Sunnyside Rd
Clackamas, OR 97015-8970
Registry dates
- Enumerated
- 2009-05-01
- Last updated
- 2009-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.