Individual
ALI HEITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3613 NE 70TH AVE, PORTLAND, OR 97213-5138
(503) 380-9328
Mailing address
3613 NE 70TH AVE, PORTLAND, OR 97213-5138
(503) 380-9328
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16826
OR
235Z00000X
Speech-Language Pathologist
33167
CA
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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