Individual
ENOCH HEILESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
313 S 9TH AVE, YAKIMA, WA 98902-3516
(509) 248-8040
(509) 248-8709
Mailing address
313 S 9TH AVE, YAKIMA, WA 98902-3516
(509) 248-8040
(509) 248-8709
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI60739280
WA
224P00000X
Prosthetist
Primary
PS60756338
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120244
LABOR & INDUSTRIES
—
05
—
9045675
—
WA
Enumeration date
05/18/2017
Last updated
07/21/2022
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