NPI 1154851533
Heidi Jo Aiken, COTAL
Practice location
- Address
- 12441 SE Stark St, Portland, OR 97233-1053
- Phone
- (503) 255-7040
- Mailing address
- 5812 N Wilbur Ave, Portland, OR 97217-4227
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1154851533
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Jun 2017
- Record last updated
- 18 Jun 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.