Individual
HEIDI A. CAUDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
525 S 57TH PL, SPRINGFIELD, OR 97478-5410
(541) 746-2333
Mailing address
1550 COTTAGE HEIGHTS LOOP, COTTAGE GROVE, OR 97424-2758
(541) 206-8157
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/05/2007
Last updated
05/17/2010
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