Search › Oregon › 363L00000X
Heather Mata, FNP
NPI 1932772399 · on the registry since 2021
Practice
- Address
- 3265 Hillcrest Park Dr
Medford, OR 97504 - Phone
- (541) 494-9355
- Organisation at this address
- Nisha Jackson Pc
Onepeak Southern Oregon Pc
Nisha Jackson Companies, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 1325 Ne 7th St, Grants Pass, OR
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon