Healthcare Provider Details

I. General information

NPI: 1750219077
Provider Name (Legal Business Name): HEATHER NORTON-HOLLERAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10580 SW MCDONALD ST STE 202
TIGARD OR
97224-4800
US

IV. Provider business mailing address

10580 SW MCDONALD ST STE 202
TIGARD OR
97224-4800
US

V. Phone/Fax

Practice location:
  • Phone: 971-242-4142
  • Fax:
Mailing address:
  • Phone: 971-242-4142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: