Provider Demographics
NPI:1407422512
Name:CODINO, HEIDI RENEE (ND)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:RENEE
Last Name:CODINO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:MISS
Other - First Name:HEIDI
Other - Middle Name:RENEE
Other - Last Name:HAGEDORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:302 E 37TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-2212
Mailing Address - Country:US
Mailing Address - Phone:360-207-5178
Mailing Address - Fax:888-797-6301
Practice Address - Street 1:302 E 37TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-2212
Practice Address - Country:US
Practice Address - Phone:360-207-5178
Practice Address - Fax:888-797-6301
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-29
Last Update Date:2023-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath