| Kevin Heidrick, PA-C | |
|
1175 Mount Hood Avenue, Woodburn, OR 97071 | |
| (503) 982-2000 | |
| (503) 982-0660 |
| Full Name | Kevin Heidrick |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1175 Mount Hood Avenue, Woodburn, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891884268 | NPI | - | NPPES |
| 067463016 | Other | OR | REGENCE |
| 911019392 | Other | COMMERCIAL | |
| M066501 | Other | PACIFIC SOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA00369 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Heidrick, PA-C Po Box 190, Toppenish, WA 98948-0190 Ph: (509) 865-5898 | Kevin Heidrick, PA-C 1175 Mount Hood Avenue, Woodburn, OR 97071 Ph: (503) 982-2000 |
Kelsey Oleson Harris, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2050 Progress Way, Woodburn, OR 97071 Phone: 503-981-5348 | |
Jennifer Raynsford, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1848 Killian Spring Dr, Woodburn, OR 97071 Phone: 415-577-8482 | |
Christopher Barrett, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1175 Mount Hood Ave, Woodburn, OR 97071 Phone: 503-982-2000 Fax: 503-982-0660 | |
Stephen Crum, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1175 Mount Hood Ave, Woodburn, OR 97071 Phone: 503-982-2000 | |
Marguerite Mautner Ballard, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2050 Progress Way, Woodburn, OR 97071 Phone: 503-981-5348 Fax: 503-981-1236 | |
Cole Janini, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1175 Mount Hood Ave, Woodburn, OR 97071 Phone: 503-982-2000 Fax: 503-982-0660 | |
Vi Tuong Nguyen, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1175 Mount Hood Ave, Woodburn, OR 97071 Phone: 503-982-2000 Fax: 503-982-0660 |