Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD192959 | OR |
N | 111NI0900X | Internist | MD192959 | OR |
Y | 207RA0401X | Internist - Addiction Medicine | MD192959 | OR |
NPI | 1619383403 |
---|---|
Provider Name | Cydney W Heims |
First Address | Portland, OR 97214-1328 |
Second Address | Seaside, OR 97138-6550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2014 |
Last Update Date | 12/11/2021 |