Heidi Jo Aiken, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Portland, OR
NPI 1154851533 · NPPES record last updated Jun 18, 2017
Key facts
- NPI
- 1154851533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 1052199 (OR)
- Practice address
- 12441 SE Stark St
Portland, OR 97233-1053 - Phone
- (503) 255-7040
- NPI assigned
- Jun 18, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1052199 | OR | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1052199 | OR | Yes |
Addresses
Primary practice location
12441 SE Stark St
Portland, OR 97233-1053
Mailing address
5812 N Wilbur Ave
Portland, OR 97217-4227
Phone (541) 310-9545
Other providers in Portland, OR
- Omoregie Peter Aideyman
- Dorothy Dalia Aiello
- Nicola Aiello
- Muaz Masood Aijazi
- Shadab Nasreen Aijazi
- Sonova Aiken
- Nichole Aimonetti
- Douglas Scott Ainslie
- Michael David Aiona
- Airmed Residential Treatment Center LLC
All providers in Portland, OR · Occupational Therapy Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.