Miss Heidi Lynn Tyson, OTR/L | |
9250 Sw Hall Blvd, Tigard, OR 97223-6721 | |
(503) 293-0161 | |
Not Available |
Full Name | Miss Heidi Lynn Tyson |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 26 Years |
Location | 9250 Sw Hall Blvd, Tigard, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174798292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 4605 (North Carolina) | Secondary |
225X00000X | Occupational Therapist | 1035732 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Portland Clinic | 8224942867 | 99 |
Provider Name | Portland Clinic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558379099 PECOS PAC ID: 8224942867 Enrollment ID: O20031118000101 |
Mailing Address | Practice Location Address |
---|---|
Miss Heidi Lynn Tyson, OTR/L 800 Sw 13th Ave, Portland, OR 97205-1902 Ph: (503) 221-0161 | Miss Heidi Lynn Tyson, OTR/L 9250 Sw Hall Blvd, Tigard, OR 97223-6721 Ph: (503) 293-0161 |
Joy Agner, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7320 Sw Hunziker St, Tigard, OR 97223 Phone: 503-443-1019 | |
Karla B Yates, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7320 Sw Hunzziker, Suite 203, Tigard, OR 97223 Phone: 888-317-1019 | |
Ms. Melissa Mocklin-dwiggins, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10220 Sw Greenburg Rd, Suite 201, Tigard, OR 97223 Phone: 503-570-3665 | |
Shannon Victoria Modjeski, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13333 Sw 68th Pkwy, Tigard, OR 97223 Phone: 503-352-0240 | |
Erin Boyll, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16485 Sw Pacific Hwy, Tigard, OR 97224 Phone: 503-620-5141 Fax: 971-223-0410 | |
Miss Teresa Maria Hasenour, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14145 Sw 105th Ave, Tigard, OR 97224 Phone: 503-639-1144 |