SCOTT HEINICHEN

GRESHAM, OR
NPI1326494626
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  61639)
Enumeration Date2016-05-05
Last Update Date2016-07-29
Business Address
SCOTT HEINICHEN
283 NW MILLER AVE
GRESHAM, OR 97030-7260
Phone number: 503-666-7644
Mailing Address
SCOTT HEINICHEN
16083 SW UPPER BOONES FERRY RD SUITE 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835
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