Heather Grace Depolitte, RN is a
Registered Nurse based in Portland, Oregon. Heather Grace Depolitte is licensed to practice in Oregon (license number 201042698RN) and her current practice location is
313 Ne Ivy St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 232-1099.
NPI number for Heather Grace Depolitte is 1942595517 and her current mailing address is 313 Ne Ivy St, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942595517.
Healthcare Provider's Profile
| Full Name | Heather Grace Depolitte |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 313 Ne Ivy St, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942595517
- Provider Enumeration Date: 06/12/2011
- Last Update Date: 05/31/2016
Medical Identifiers
Medical identifiers for Heather Grace Depolitte such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942595517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 201042698RN (Oregon) | Secondary |
| 163W00000X | Registered Nurse | 201042698RN (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heather Grace Depolitte is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Heather Grace Depolitte, RN 313 Ne Ivy St, Portland, OR 97212-2089 Ph: (503) 236-2129 | Heather Grace Depolitte, RN 313 Ne Ivy St, Portland, OR 97212-2089 Ph: (503) 232-1099 |
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