Individual provider · Type 1 NPI

Megan Lin Heinecke, PAC

Surgical Physician Assistant · Portland, OR

NPI number 1245547330 Active

Practice location

2222 NW Lovejoy St, Suite 622
Portland, OR 97210-3033

Call (503) 229-8455 Map

Fax (503) 229-7028

Mailing address

847 NE 19th Ave, Suite 300
Portland, OR 97232-2684

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA164609 (OR)
Physician Assistant 363A00000X2651 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1245547330

Megan Lin Heinecke, PAC's National Provider Identifier is 1245547330, issued on Sep 10, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Jul 26, 2016.