Individual
MS. HEIDI M PANNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3890
(503) 535-3868
Mailing address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3890
(503) 535-3868
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC190584
OR
Other
Enumeration date
04/16/2009
Last updated
10/18/2018
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