Individual
JOHANNA R HEYMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LCSW
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 213-8000
Mailing address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 213-8000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4787
OR
163W00000X
Registered Nurse
201141026RN
OR
Other
Enumeration date
09/14/2011
Last updated
03/05/2022
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