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General NPI Number Information
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NPI Number | 1407327596
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Entity Type | Individual
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Provider Name | HEATHER MAE WEBSTER CNM, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 110 S BANCROFT ST STE B
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City | PORTLAND
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State | OR
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Zip | 97239-8523
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Country | US
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Telephone | 971-328-1565
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Fax | 206-385-7376
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Provider Business Mailing Address
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Address Line | 16837 SE KNOLL RIDGE TER
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City | MILWAUKIE
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State | OR
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Zip | 97267-5540
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Country | US
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Telephone | 781-346-5813
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 201400373RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 202009554NP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | ARNP.AP.70000379-CNM
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP.AP.70012847-NP
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 202009554NP-PP
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License Number State | OR
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