Individual
HEIDI MICHELLE SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU
Contact information
Practice address
1160 WALLACE RD NW, SALEM, OR 97304-3116
(503) 331-3060
Mailing address
1160 WALLACE RD NW STE 150, SALEM, OR 97304-3116
(503) 331-3060
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
30791
OR
231H00000X
Audiologist
61094500
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500668711
—
OR
Enumeration date
03/13/2007
Last updated
12/20/2021
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