SearchOregon235Z00000X

Ali Heitzman

NPI 1659194017 · on the registry since 2024 · sole proprietor

Practice

Address
3613 Ne 70th Ave
Portland, OR 97213
Phone
(503) 380-9328

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
Licence states on file
CA, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon