person
Kevin Heidrick, PA-C
Medical Physician Assistant in Woodburn, Oregon
NPI 1891884268

Kevin Heidrick is a Medical Physician Assistant based in Toppenish, OR and is specialized in Medical. Kevin Heidrick practices in Woodburn, OR and has the professional credentials of PA-C. The NPI Number for Kevin Heidrick is 1891884268 and holds a License No. PA00369 (Oregon).

The current practice location address for Kevin Heidrick is 1175 Mount Hood Avenue, Woodburn, OR and can be reached out via phone at 503-982-2000 and via fax at 503-982-0660.

Location: 1175 Mount Hood Avenue, Woodburn, OR, 98948-0190
person
Provider Profile Details
NPI Number
1891884268
Provider Name
Kevin Heidrick
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1175 Mount Hood Avenue, Woodburn, OR, 98948-0190
Phone Number
503-982-2000
Fax Number
503-982-0660
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
067463016 01 OR REGENCE
911019392 01 COMMERCIAL
M066501 01 PACIFIC SOURCE
institution
Provider Business Practice Location Address Details
Address
1175 Mount Hood Avenue
City
State
Zip
97071
Phone Number
503-982-2000
Fax Number
503-982-0660
person
Provider Business Mailing Address Details
Address
1175 Mount Hood Avenue
City
State
Zip
97071
Phone Number
503-982-2000
Fax Number
503-982-0660
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00369 (Oregon)
Definition
Definition to come...
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