Individual
CLARA HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 S MAIN ST, MOUNT ANGEL, OR 97362-9540
(503) 845-2736
Mailing address
540 S MAIN ST, MOUNT ANGEL, OR 97362-9540
(503) 845-2736
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
LP 2627
OR
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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