Individual
DR. LARRY A HEINONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9701 SW BARNES RD, STE 300, PORTLAND, OR 97225-6689
(503) 297-8081
(503) 292-6601
Mailing address
975 SE SANDY BLVD, SUITE 201, PORTLAND, OR 97214-1308
(503) 236-0775
(503) 236-0786
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD09495
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042499
—
OR
05
—
8502635
—
WA
Enumeration date
06/27/2005
Last updated
08/19/2008
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