Individual
KATHLEEN MARIE HEFFLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LC, CDE
Contact information
Practice address
1130 NW 22ND AVE, LL 10, PORTLAND, OR 97210-2900
(503) 413-7311
Mailing address
PO BOX 4037, PORTLAND, OR 97208-4037
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
605
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8516023
—
WA
Enumeration date
03/01/2006
Last updated
01/08/2009
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