Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE HEEMAN, ATC
Active Sole ProprietorJACQUELINE HEEMAN, ATC is a Athletic Trainer healthcare provider located in SCAPPOOSE, Oregon. NPI 1912462300 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SCAPPOOSE, OR
Registration Details
- NPI Number
- 1912462300
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 10, 2019 (7.4828139008096 yrs)
- Last Updated
- Feb 10, 2019
- License
-
AT-AT-10169822 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
51385 SW OLD PORTLAND RD STE ESCAPPOOSE, OR, 970564062Browse OR providers · Browse ZIP 97056
- Phone
- 5035437768
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.