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Individual

JULIA AMOLIA HEINZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3900
(503) 669-3981
Mailing address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3900
(503) 669-3981

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
176018
OR
207Q00000X
Family Medicine Physician
OP 60637961
WA

Other

Enumeration date
06/11/2013
Last updated
02/04/2022
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