Provider Demographics
NPI:1366906927
Name:MILLER, HEATHER BEICHNER (PT, DPT)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:BEICHNER
Last Name:MILLER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1327 SE TACOMA ST UNIT 122
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-6639
Mailing Address - Country:US
Mailing Address - Phone:971-361-9442
Mailing Address - Fax:888-645-6068
Practice Address - Street 1:1327 SE TACOMA ST UNIT 122
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-6639
Practice Address - Country:US
Practice Address - Phone:971-361-9442
Practice Address - Fax:888-645-6068
Is Sole Proprietor?:No
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist