KEVIN HEIDRICK

WOODBURN, OR
NPI1891884268
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA00369)
Enumeration Date2006-10-12
Last Update Date2012-12-20
Business Address
-- KEVIN HEIDRICK P.A.-C
1175 MOUNT HOOD AVENUE
WOODBURN, OR 97071
Phone number: 503-982-2000
Mailing Address
-- KEVIN HEIDRICK P.A.-C
PO BOX 190
TOPPENISH, WA 98948-0190
Phone number: 509-865-5898
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