Individual
HEATHER BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13243 SE BUFORD CT, PORTLAND, OR 97236-3186
(503) 380-5309
Mailing address
13243 SE BUFORD CT, PORTLAND, OR 97236-3186
(503) 380-5309
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
995796
OR
Other
Enumeration date
09/14/2009
Last updated
07/28/2016
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