Individual
JENNIFER HEIKKILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-4768
Mailing address
18788 RIP TIDE ST, OREGON CITY, OR 97045-8304
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
10121317
OR
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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