Healthcare Provider Details

I. General information

NPI: 1144547308
Provider Name (Legal Business Name): HEIKE K. HUCHLER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEIKE K. HOFFMEIER

II. Dates (important events)

Enumeration Date: 04/28/2010
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 NE PROFESSIONAL CT
BEND OR
97701-6063
US

IV. Provider business mailing address

2200 NE PROFESSIONAL CT
BEND OR
97701-6063
US

V. Phone/Fax

Practice location:
  • Phone: 541-389-6316
  • Fax: 541-389-7600
Mailing address:
  • Phone: 541-389-6313
  • Fax: 541-389-8760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201500075NP PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: