Individual
HEIDI BARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5119 NE 57TH AVE, PORTLAND, OR 97218-2584
(503) 215-8056
Mailing address
4531 SE BELMONT ST, SUITE 100, PORTLAND, OR 97215-1675
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08679
OR
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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