Individual
MS. ELIZA LOUISE HEAVENRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
805 STATE ST APT 2, HOOD RIVER, OR 97031-1801
(503) 298-1009
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13499
OR
Other
Enumeration date
06/27/2011
Last updated
01/03/2014
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