| NPI | 1386983443 |
|---|---|
| Doing Business As | JULIE HIGHTMAN |
| Entity Type | Organization |
| Authorized Contact | JULIE J HIGHTMAN Owner/Practitioner 503-936-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OR 164895) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: OR 13100) |
| Enumeration Date | 2013-02-10 |
| Last Update Date | 2022-03-26 |