Individual
MS. HEIDI LOUISE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
15455 NW GREENBRIER PKWY, SUITE 240, BEAVERTON, OR 97006-7374
(503) 533-9870
(503) 914-1590
Mailing address
1575 SW DELLWOOD AVE, PORTLAND, OR 97225-4853
(503) 646-9529
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000032754N6 PMHNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050182
—
OR
Enumeration date
02/28/2007
Last updated
07/09/2007
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