Individual provider Active NPI

Heather Dawn Poliszuk, NP

  • Family Nurse Practitioner
  • Hillsboro, OR
National Provider Identifier
1487461810
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10036853 Issued in OR
Practice address
4660 NE Belknap CT Ste 119
Hillsboro, OR 97124-8402
Phone
(503) 359-4773
Fax
(503) 359-3809
NPI assigned
Dec 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10036853 OR Primary

Addresses

Primary practice location

4660 NE Belknap CT Ste 119
Hillsboro, OR 97124-8402

Mailing address

1909 Mountain View LN Ste 200
Forest Grove, OR 97116-2894
Phone (033) 594-7735

Other practice location 1

1909 Mountain View Ln Ste 200
Forest Grove, OR 97116-2894
Phone (503) 359-4773

Other names 1

  • Heather Arneson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250221000987 OR Practitioner - Nurse Practitioner 6406376359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10036853ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy J Gray DO LLC CurrentSince Feb 10, 2025 Accepting new patients

Locations

1909 Mountain View Ln
Ste 200
Forest Grove, OR 97116
Phone (503) 359-4773

4660 NE Belknap Ct
Ste 119
Hillsboro, OR 97124
Phone (503) 359-3809

Interoperability endpoints

  • Direct secure messaging: heather.poliszuk.1@26386.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26386/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1487461810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 MOUNTAIN VIEW LN STE 200",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162894",
            "telephone_number": "033-594-7735",
            "fax_number": "503-359-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 NE BELKNAP CT STE 119",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971248402",
            "telephone_number": "503-359-4773",
            "fax_number": "503-359-3809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 Mountain View Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Forest Grove",
            "state": "OR",
            "postal_code": "971162894",
            "country_code": "US",
            "telephone_number": "503-359-4773",
            "fax_number": "503-359-3809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLISZUK",
        "first_name": "HEATHER",
        "middle_name": "DAWN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10036853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "ARNESON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.