Mirasol, Heather Louise
Mirasol, Heather Louise is an individual health care provider with primary practice located at 1700 Nw Civic Dr Suite 310, Gresham OR 97030-3770. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mirasol, Heather Louise can be contacted via phone (503) 666-8832.Contact Information
Primary practice address
1700 Nw Civic Dr Suite 310
Gresham OR 97030-3770
Phone: (503) 666-8832
Fax: (503) 669-8841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C2670 | Oregon |
Profile Details
| NPI number | 1295885069 |
|---|---|
| LBN Legal business name | Mirasol, Heather Louise |
| Credentials | M.A., LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Apr 6th, 2015 - about 9 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.
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