Provider Demographics
NPI:1386843159
Name:TORNBERG, HEIDI (DC)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:
Last Name:TORNBERG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 DEBORAH RD
Mailing Address - Street 2:SUITE 270
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132-2198
Mailing Address - Country:US
Mailing Address - Phone:503-538-5433
Mailing Address - Fax:503-537-5153
Practice Address - Street 1:700 DEBORAH RD
Practice Address - Street 2:SUITE 270
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132-2198
Practice Address - Country:US
Practice Address - Phone:503-538-5433
Practice Address - Fax:503-537-5153
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3752111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor