Organization
HEATHER TETERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER TETERS LCSW (CLINICAL SOCIAL WORKER)
(503) 799-0065
Entity
Organization
Contact information
Practice address
1234 NE 75TH AVE, PORTLAND, OR 97213-6127
(503) 799-0065
Mailing address
1234 NE 75TH AVE, PORTLAND, OR 97213-6127
(503) 799-0065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
09/06/2023
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