Provider Demographics
NPI:1396994000
Name:FINK, HEATHER M (MT-BC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:FINK
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 444
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:OR
Mailing Address - Zip Code:97024-0444
Mailing Address - Country:US
Mailing Address - Phone:503-201-6508
Mailing Address - Fax:
Practice Address - Street 1:1390 NE PARK LN
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:OR
Practice Address - Zip Code:97024-3822
Practice Address - Country:US
Practice Address - Phone:503-201-6508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist