DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OTIS HEAVENRICH

Active

OTIS HEAVENRICH is a Speech, Language and Hearing Specialist healthcare provider located in ASTORIA, Oregon. NPI 1518722016 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · ASTORIA, OR

Registration Details

NPI Number
1518722016
Provider Type
Individual
Gender
Male
NPI Issued
Feb 14, 2024 (2.4586544792416 yrs)
Last Updated
Feb 14, 2024
License
14050779 (OR)

Practice Information

Address
785 ALAMEDA AVE
ASTORIA, OR, 971035947
Browse OR providers · Browse ZIP 97103
Phone
5033388225
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in ASTORIA, OR

Name Credential NPI
MISS VALERIE GEORGIA GIBB SLP-CCC 1528234903
SHARON MARIE MENAPACE 1639345176
MRS. ANN GOGENOLA ERICKSON MS, CCCSLP 1528379724
ALEXIS AIELLO MS CCC-SLP 1780283648
CHELSEA NICOLE TUMBARELLO 1881286805
LORI ANN DYER MS, CCC-SLP 1255197166
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.