Individual provider · Type 1 NPI
Kevin Heidrick, P.A.-C
Medical Physician Assistant · Woodburn, OR
NPI number
1891884268
Active
Practice location
1175 Mount Hood Avenue
Woodburn, OR 97071
Fax (503) 982-0660
Mailing address
PO Box 190
Toppenish, WA 98948-0190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA00369 (OR) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Woodburn
- Marguerite Mautner Ballard, PA-CMedical Physician Assistant Woodburn, OR NPI 1215011820
- Kristyn Van AllenMedical Physician Assistant Woodburn, OR NPI 1770461931
- Miriam Habafy, PA-CMedical Physician Assistant Woodburn, OR NPI 1831273457
- Tana Kornachuk, PA-CMedical Physician Assistant Woodburn, OR NPI 1922463645
About NPI 1891884268
Kevin Heidrick, P.A.-C's National Provider Identifier is 1891884268, issued on Oct 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Woodburn, OR. The record was last updated on Dec 20, 2012.