MEDICARE: JULIE J HIGHTMAN LMT, LAC

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
1	174400000X	Specialist	13100	OR
2	171100000X	Acupuncturist	164895	OR

General Provider Information

NPI Number	:	1922266907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE J HIGHTMAN LMT, LAC

Provider Business Mailing Address
First Line	:	40171 SE KITZMILLER RD
Second Line	:
City	:	EAGLE CREEK
State	:	OR
Zip	:	97022-8636
Country	:	US
Telephone Number	:	503-936-0036
Fax Number	:

Provider Business Practice Location Address
First Line	:	39085 PIONEER BLVD
Second Line	:
City	:	SANDY
State	:	OR
Zip	:	97055-8062
Country	:	US
Telephone Number	:	503-936-0036
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	03/26/2022

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