Individual
DARICE MERLE HEYNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3197 DUNCAN DR, LAKE OSWEGO, OR 97035-1915
(503) 675-0323
Mailing address
3197 DUNCAN DR, LAKE OSWEGO, OR 97035-1915
(503) 675-0323
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
996011
OR
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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