TARA LYNNE HEENEY

PORTLAND, OR
NPI1700143039
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  DO173008)
Enumeration Date2012-04-11
Last Update Date2020-10-19
Business Address
TARA LYNNE HEENEY D.O.
5005 NE SANDY BLVD
PORTLAND, OR 97213-1941
Phone number: 503-233-6940
Mailing Address
TARA LYNNE HEENEY D.O.
800 SW 13TH AVE
PORTLAND, OR 97205
Phone number: