Individual
HEIDI M ENDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14127 SW 114TH AVE, TIGARD, OR 97224-3709
(503) 747-4338
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
05/19/2020
Last updated
03/24/2022
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