Provider Demographics
NPI:1427389824
Name:BEE, HEATHER A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:A
Last Name:BEE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 COMMERCIAL ST STE 406
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:OR
Mailing Address - Zip Code:97103-4540
Mailing Address - Country:US
Mailing Address - Phone:503-550-7873
Mailing Address - Fax:503-406-2297
Practice Address - Street 1:818 COMMERCIAL ST STE 406
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:OR
Practice Address - Zip Code:97103-4540
Practice Address - Country:US
Practice Address - Phone:503-550-7873
Practice Address - Fax:503-406-2297
Is Sole Proprietor?:No
Enumeration Date:2010-01-25
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1653103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500627855Medicaid