Provider Demographics
NPI:1760695753
Name:BARTLEMUS, HEATHER (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:BARTLEMUS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:ROYCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:14285 SE RUPERT DR # 49
Mailing Address - Street 2:
Mailing Address - City:OAK GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97267-1265
Mailing Address - Country:US
Mailing Address - Phone:808-268-1372
Mailing Address - Fax:
Practice Address - Street 1:9123 SE SAINT HELENS ST STE 270B
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-6801
Practice Address - Country:US
Practice Address - Phone:855-583-2842
Practice Address - Fax:503-678-9751
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60881041106H00000X
HI167106H00000X
ORT1527106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist