Individual
HEATHER REGINA WATFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1803 MAIN ST, KLAMATH FALLS, OR 97601-2636
(541) 591-4384
Mailing address
90831 HIGHWAY 140 W, LAKEVIEW, OR 97630-9087
(541) 591-4384
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
251B00000X
Case Management Agency
—
OR
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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