Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN HEIDRICK, P.A.-C
ActiveKEVIN HEIDRICK, P.A.-C is a Medical Physician Assistant healthcare provider located in WOODBURN, Oregon. NPI 1891884268 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WOODBURN, OR
Registration Details
- NPI Number
- 1891884268
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2006 (19.814369301772 yrs)
- Last Updated
- Dec 20, 2012
- License
-
PA00369 (OR)
Practice Information
- Address
-
1175 MOUNT HOOD AVENUEWOODBURN, OR, 97071Browse OR providers · Browse ZIP 97071
- Phone
- 5039822000
- Fax
- 5039820660
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in WOODBURN, OR
| Name | Credential | NPI |
|---|---|---|
| MARGUERITE MAUTNER BALLARD | PA-C | 1215011820 |
| MIRIAM HABAFY | PA-C | 1831273457 |
| TANA KORNACHUK | PA-C | 1922463645 |
| KRISTYN VAN ALLEN | — | 1770461931 |
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.