Heinonen, Larry A
Heinonen, Larry A is an individual health care provider with primary practice located at 9701 Sw Barnes Rd Ste 300, Portland OR 97225-6689. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Heinonen, Larry A can be contacted via phone (503) 297-8081.Contact Information
Primary practice address
9701 Sw Barnes Rd Ste 300
Portland OR 97225-6689
Phone: (503) 297-8081
Fax: (503) 292-6601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD09495 | Oregon |
Profile Details
| NPI number | 1669478343 |
|---|---|
| LBN Legal business name | Heinonen, Larry A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Aug 19th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669478343 | NPPES |
| Washington | MEDICAID | 8502635 | |
| Washington | MEDICAID | 042499 |
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