Individual
HEIDY ANETT BYWATERS-NORIEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
10700 SW BEAVERTON HILLSDALE HWY STE 11, BEAVERTON, OR 97005-3035
(458) 239-1469
(503) 641-8548
Mailing address
5185 SW LOMBARD AVE APT 5, BEAVERTON, OR 97005-4864
(458) 239-1469
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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