RANDY HEATER

TIGARD, OR
NPI1306209838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  15-p-04)
Enumeration Date2016-04-01
Last Update Date2018-04-11
Business Address
RANDY HEATER
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223-5492
Phone number: 503-684-8159
Mailing Address
RANDY HEATER
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223-5492
Phone number: 503-684-8159
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