| Otis Heavenrich, | |
|
785 Alameda Ave, Astoria, OR 97103-5947 | |
| (503) 338-8225 | |
| Not Available |
| Full Name | Otis Heavenrich |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 785 Alameda Ave, Astoria, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518722016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 14050779 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Otis Heavenrich, 35218 Mudd Ln, Astoria, OR 97103-8337 Ph: (503) 338-8225 | Otis Heavenrich, 785 Alameda Ave, Astoria, OR 97103-5947 Ph: (503) 338-8225 |
Makayla Ann Phillips-koch, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2265 Exchange St, Astoria, OR 97103 Phone: 503-325-7555 | |
Lori Ann Dyer, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 785 Alameda Ave, Astoria, OR 97103 Phone: 503-338-3354 | |
Speech, Language And Learning Center Of Astoria, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 171 W Bond St, Astoria, OR 97103 Phone: 503-325-9505 | |
Ms. Iris Maase Douglas, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 785 Alameda Ave, Astoria, OR 97103 Phone: 503-333-3376 | |
Miss Valerie Georgia Gibb, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 171 W Bond St, Astoria, OR 97103 Phone: 503-325-9505 | |
Mrs. Ann Gogenola Erickson, MS, CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 930 Gara Pl, Astoria, OR 97103 Phone: 503-440-0802 |