Individual
MR. BYRON HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 CENTRAL AVE, SUITE 406, COOS BAY, OR 97420-2272
(541) 269-2813
(541) 269-9198
Mailing address
320 CENTRAL AVE, COOS BAY, OR 97420-2272
(541) 269-2813
(541) 269-9198
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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