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Contact Information

MEGAN L HEINECKE, PAC
2222 NW LOVEJOY ST
SUITE 622
PORTLAND, OR97210-3033
 Phone: 503-229-8455
 Fax: 503-229-7028
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MEGAN L HEINECKE · (Female)

NPI # 1245547330
Status Active
Credentials PAC
Entity Individual
Enumeration date 09/10/2010
Last updated 07/26/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA164609
  • WI License # 2651
  • OR Medicaid 500662343
  • WA Medicaid 2059843
Hospital affiliation(s)
  • ALASKA NATIVE MEDICAL CENTER - (Acute Care)
    4315 DIPLOMACY DR
    ANCHORAGE, AK 99508
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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