Individual
HEIDI JANE FURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 3RD AVE, LONGVIEW, WA 98632-3231
(360) 425-9810
Mailing address
3715 NW 111TH CIR, VANCOUVER, WA 98685-3453
(360) 749-7223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00002044
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
991790
NBCOT
WA
Enumeration date
05/14/2019
Last updated
05/14/2019
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