HEARTWOOD CENTER LLC NPI 1710594155

NPI Information

NPI: 1710594155
Provider Name: HEARTWOOD CENTER, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
200 E 2ND ST STE 102
NEWBERG, OR
ZIP 97132
Phone: (503) 427-8581
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HEARTWOOD CENTER, LLC is a psychiatric/mental health nurse practitioner in Newberg, OR. HEARTWOOD CENTER, LLC NPI is 1710594155. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 E 2ND ST STE 102
NEWBERG, OR
ZIP 97132-083
Phone: (503) 427-8581
Fax: (503) 461-0061

The provider's authorized official is Samantha Rynearson .
The authorized official title is Owner, Clinician and has the following contact phone number (503) 427-8581.

The enumeration date for this NPI number is 9/29/2020 and was last updated on 9/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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