Individual
HEATHER DEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 NW BETHANY BLVD STE 320, BEAVERTON, OR 97006-5238
(503) 567-3260
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
10/02/2015
Last updated
10/02/2015
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