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NPI Code Detail

MEDICARE: MARILYN AUSTIN HEINS M.A.

MEDICARE: MARILYN AUSTIN HEINS M.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor13041OR

General Provider Information

NPI Number : 1649244518
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN AUSTIN HEINS M.A.
Provider Business Mailing Address
First Line : 5405 NW PACIFIC COAST HWY
Second Line :
City : WALDPORT
State : OR
Zip : 97394-9652
Country : US
Telephone Number : 541-563-6844
Fax Number :
Provider Business Practice Location Address
First Line : 36 SW NYE ST
Second Line :
City : NEWPORT
State : OR
Zip : 97365-3821
Country : US
Telephone Number : 541-265-6611
Fax Number : 541-574-6252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 07/08/2007

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