Individual
HEATHER L HEIMBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2701 NW VAUGHN ST, PORTLAND, OR 97210
(503) 499-5200
Mailing address
2701 NW VAUGHN ST, STE. 140, PORTLAND, OR 97210-5311
(503) 499-5471
(503) 499-5213
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12154
OR
235Z00000X
Speech-Language Pathologist
LL00003193
WA
Other
Enumeration date
10/03/2006
Last updated
07/16/2007
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