Individual
HEIDI JO AIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12441 SE STARK ST, PORTLAND, OR 97233-1053
(503) 255-7040
Mailing address
5812 N WILBUR AVE, PORTLAND, OR 97217-4227
(541) 310-9545
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1052199
OR
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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