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General NPI Number Information
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NPI Number | 1639539471
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Entity Type | Individual
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Provider Name | HEATHER HEMMEGER PHARMD, MSN, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/04/2016
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 2406 SE 60TH AVE STE 202
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City | PORTLAND
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State | OR
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Zip | 97206-1303
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Country | US
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Telephone | 503-506-4384
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Fax | 503-506-0673
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Provider Business Mailing Address
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Address Line | 5441 S MACADAM AVE # 8080
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City | PORTLAND
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State | OR
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Zip | 97239-6106
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Country | US
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Telephone | 503-506-4384
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Fax | 503-506-0673
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 202008645NP-PP
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License Number State | OR
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