Individual
MS. HEATHER LEIGH WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1121 SE SHERMAN ST, PORTLAND, OR 97214-5354
(503) 747-8427
Mailing address
1121 SE SHERMAN ST, PORTLAND, OR 97214-5354
(503) 747-8427
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
17228
OR
Other
Enumeration date
07/20/2010
Last updated
11/02/2011
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