Individual
MR. GEOFFREY DOUGLAS HEATHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
182 SW ACADEMY ST, SUITE 304, DALLAS, OR 97338-1922
(503) 623-9289
(503) 831-1726
Mailing address
182 SW ACADEMY ST, SUITE 304, DALLAS, OR 97338-1922
(503) 623-9289
(503) 831-1726
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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