Healthcare Provider Details

I. General information

NPI: 1851209340
Provider Name (Legal Business Name): HEATHER HASTINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 E 11TH AVE
EUGENE OR
97401-3746
US

IV. Provider business mailing address

2450 FRIENDLY ST
EUGENE OR
97405-2249
US

V. Phone/Fax

Practice location:
  • Phone: 458-205-7085
  • Fax:
Mailing address:
  • Phone: 541-513-3101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: