Individual
HEATHER L HEPPENSTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30809 1ST AVE S, FEDERAL WAY, WA 98003-4074
(253) 839-2030
(253) 839-1071
Mailing address
30809 1ST AVE S, FEDERAL WAY, WA 98003-4074
(253) 839-2030
(253) 839-1071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00020185
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080138616
RAILROAD
WA
05
—
1014513
—
WA
01
—
126702
L & I
WA
01
—
218988
L & I
WA
01
—
8935083
CRIME VICTIMS
WA
01
—
8944174
CRIME VICTIMS
WA
Enumeration date
08/05/2006
Last updated
11/16/2010
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