Active NPI
Heather Lynn Duff, L.M.T
- Specialist
- Portland, OR
National Provider Identifier
1174733273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 12905
- Practice address
- 11545 SW Durham Rd Ste B9
Portland, OR 97224-3473 - Phone
- (503) 639-0778
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 12905 | OR | Primary |
Addresses
Primary practice location
11545 SW Durham Rd Ste B9
Portland, OR 97224-3473
Mailing address
7737 SW Wimbledon Cir N
Wilsonville, OR 97070-9468
Phone (503) 682-2606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12905 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Chiropractic, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Tigard, OR
- NPI 1881876704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174733273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7737 SW WIMBLEDON CIR N",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709468",
"telephone_number": "503-682-2606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11545 SW DURHAM RD STE B9",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972243473",
"telephone_number": "503-639-0778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFF",
"first_name": "HEATHER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "L.M.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "12905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.