Healthcare Provider Details

I. General information

NPI: 1922266907
Provider Name (Legal Business Name): JULIE J HIGHTMAN LMT, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 03/26/2022
Certification Date: 03/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39085 PIONEER BLVD
SANDY OR
97055-8062
US

IV. Provider business mailing address

40171 SE KITZMILLER RD
EAGLE CREEK OR
97022-8636
US

V. Phone/Fax

Practice location:
  • Phone: 503-936-0036
  • Fax:
Mailing address:
  • Phone: 503-936-0036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number13100
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number164895
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: