Individual
DAVID ROBERT HEINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
13317 SE POWELL BLVD, PORTLAND, OR 97236-3335
(503) 760-9606
(503) 760-9609
Mailing address
PO BOX 33351, PORTLAND, OR 97292-3351
(503) 880-9444
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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