Active NPI
Miriam Frances Heiferman, MD
- Pediatrics Physician
- Tualatin, OR
National Provider Identifier
1326134800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD21735
- Practice address
- 19185 SW 90TH Ave
Tualatin, OR 97062-7558 - Phone
- (503) 885-7300
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD21735 | OR | Primary |
Addresses
Primary practice location
19185 SW 90TH Ave
Tualatin, OR 97062-7558
Mailing address
2840 Rivendell Rd
Lake Oswego, OR 97034-7392
Phone (503) 638-6085
Other names 1
- Miriam Frances Heiferman Ferrell
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD21735 | OR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326134800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2840 RIVENDELL RD",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970347392",
"telephone_number": "503-638-6085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19185 SW 90TH AVE",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627558",
"telephone_number": "503-885-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIFERMAN",
"first_name": "MIRIAM",
"middle_name": "FRANCES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD21735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIRIAM",
"last_name": "HEIFERMAN FERRELL",
"middle_name": "FRANCES",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tualatin, 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.