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Heaven Woods

Community Health Worker in Portland, OR. Individual provider (NPI-1).

NPI number1003239757
StatusActive
Last updated in NPPESJan 31, 2014

Details

NPI
1003239757
Entity type
Individual (NPI-1)
Name
Heaven Woods
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 31, 2014
Last updated
Jan 31, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

847 Ne 19th Ave
Portland, OR 97232-2684

Phone 503-238-0769

Mailing address

Po Box 8459
Portland, OR 97207-8459

Phone 503-238-0769

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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