Individual
HEIDI LYNN MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THW
Contact information
Practice address
7110 SW FIR LOOP STE 160, TIGARD, OR 97223-8031
(503) 507-9417
Mailing address
7110 SW FIR LOOP STE 160, TIGARD, OR 97223-8031
(503) 507-9417
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
000002928
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000002928
—
OR
Enumeration date
03/21/2019
Last updated
03/21/2019
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