Hefflinger, Kathleen Marie

Hefflinger, Kathleen Marie is an individual health care provider with primary practice located at 1130 Nw 22Nd Ave Ll 10, Portland OR 97210-2900. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Hefflinger, Kathleen Marie can be contacted via phone (503) 413-7311.

Contact Information

Primary practice address
1130 Nw 22Nd Ave Ll 10 Portland OR 97210-2900
Phone: (503) 413-7311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 605 Oregon

Profile Details

NPI number 1912974668
LBN Legal business name Hefflinger, Kathleen Marie
Credentials RD, LC, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jan 8th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912974668 NPPES
Washington MEDICAID 8516023

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