Healthcare Provider Details

I. General information

NPI: 1811447550
Provider Name (Legal Business Name): JAMI ELIZABETH HEYTING ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2016
Last Update Date: 03/21/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 SW FOREST AVE
REDMOND OR
97756-2737
US

IV. Provider business mailing address

2130 SW CANYON DR APT D
REDMOND OR
97756-0328
US

V. Phone/Fax

Practice location:
  • Phone: 541-316-0468
  • Fax: 833-643-0179
Mailing address:
  • Phone: 503-880-5295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number4026
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: