Individual
JUSTIN HEIKKILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
506 4TH ST, LA GRANDE, OR 97850-1906
(541) 663-3138
Mailing address
506 4TH ST, LA GRANDE, OR 97850-1906
(541) 663-3138
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202005122RN
OR
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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