Healthcare Provider Details

I. General information

NPI: 1407084106
Provider Name (Legal Business Name): CHRISTINA HEIN L.M.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2009
Last Update Date: 07/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16500 SE 15TH ST SUITE 160
VANCOUVER WA
98683-9665
US

IV. Provider business mailing address

16500 SE 15TH ST SUITE 160
VANCOUVER WA
98683-9665
US

V. Phone/Fax

Practice location:
  • Phone: 360-718-7944
  • Fax: 360-718-7931
Mailing address:
  • Phone: 360-718-7944
  • Fax: 360-718-7931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License NumberMA00019581
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: