Individual
HEIDI TILLOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA MFT
Contact information
Practice address
5319 SW WESTGATE DR STE 113, PORTLAND, OR 97221-2432
(503) 454-6733
Mailing address
23006 SW CUTHILL PL, SHERWOOD, OR 97140-8200
(503) 997-3230
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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