Scott Heinichen

NPI #1326494626 in Gresham, Oregon

Provider Information

NPI Number: 1326494626
Entity Type: Individual
Name: Scott Heinichen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: May 5, 2016
Last Updated: Jul 29, 2016

Practice Location

Address: 283 NW MILLER AVE
City: Gresham
State: Oregon
ZIP Code: 97030-7260
Phone: (503) 666-7644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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