Individual
VICTORIA L. HEINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., L.P.C.T.
Contact information
Practice address
615 HIGH ST, SUITE E, OREGON CITY, OR 97045-2269
(503) 657-0015
Mailing address
615 HIGH ST, SUITE E, OREGON CITY, OR 97045-2269
(503) 657-0015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
EPT-T-109075
OR
374700000X
Technician
079042335RN
OR
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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