Provider Demographics
NPI:1639539471
Name:HEMMEGER, HEATHER (PHARMD, MSN, PMHNP)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:
Last Name:HEMMEGER
Suffix:
Gender:F
Credentials:PHARMD, MSN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 SW MORRISON ST STE 929
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2228
Mailing Address - Country:US
Mailing Address - Phone:503-994-8811
Mailing Address - Fax:503-994-8812
Practice Address - Street 1:1220 SW MORRISON ST STE 929
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2228
Practice Address - Country:US
Practice Address - Phone:503-994-8811
Practice Address - Fax:503-994-8812
Is Sole Proprietor?:No
Enumeration Date:2016-03-04
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202008645NP-PP363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health