EMILY HEIBERG


Address: 3900 Pacific Ave, Forest Grove, OR 97116-2226
Phone: 5033590449

EMILY HEIBERG (NPI# 1437773595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437773595
Entity Type Individual
Full Name EMILY HEIBERG
Practice Address 3900 Pacific Ave
Forest Grove
OR 97116-2226
Mailing Address 6805 Sw Nyberg St Apt E304
Tualatin
OR 97062-8333
Practice Telephone 5033590449
Mailing Telephone 5419922521
Enumeration Date 2020-06-04
Last Update Date 2020-06-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 1009851 OR Dietary & Nutritional Service Providers

Office Location

Street Address 3900 PACIFIC AVE
City FOREST GROVE
State OR
Zip Code 97116-2226

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780670182 Pci Care Venture I Inc. Skilled Nursing Facility 3900 Pacific Ave, Forest Grove, OR 97116-2226 2005-09-21
1730725185 Anna Whitley Hall Occupational Therapist 3900 Pacific Ave, Forest Grove, OR 97116-2226 2019-11-20
1578029369 Ashley Guieb Occupational Therapist 3900 Pacific Ave, Forest Grove, OR 97116-2226 2019-02-16
1285101725 Julia Mcewen Case Manager/Care Coordinator 3900 Pacific Ave, Forest Grove, OR 97116-2226 2018-11-01
1922504703 Bethany Joy Bick Nurse Practitioner 3900 Pacific Ave, Forest Grove, OR 97116-2226 2018-04-02
1487157228 Srividhya Subramanian Student in an Organized Health Care Education/Training Program 3900 Pacific Ave, Forest Grove, OR 97116-2226 2018-03-16
1699291179 Noah Wilson-fey Case Manager/Care Coordinator 3900 Pacific Ave, Forest Grove, OR 97116-2226 2017-08-16
1699203208 Whitney K Howe Physical Therapist 3900 Pacific Ave, Forest Grove, OR 97116-2226 2017-05-25
1043747660 Courtney Souza Occupational Therapist 3900 Pacific Ave, Forest Grove, OR 97116-2226 2017-05-13
1871037192 Anastasia Cohen Counselor 3900 Pacific Ave, Forest Grove, OR 97116-2226 2016-12-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780220988 Jenny Park Social Worker 2023 Hawthorne Street, Building C, Forest Grove, OR 97116 2019-11-22
1447742077 Kimberly K Sabin Doula 1239 Goff Rd, Forest Grove, OR 97116 2018-05-30
1891205266 Sonam Narayan Optometrist 2221 Pacific Avenue, Forest Grove, OR 97116 2017-10-11
1013260181 Sharon Louise Benjamin Nurse Practitioner 2724 Harvest Ct, Forest Grove, OR 97116 2012-10-25
1336445535 Shane Michael Peterson Physical Therapist 3300 19th Avenue, Forest Grove, OR 97116 2011-02-04
1023324415 Kara Marie Cooper Registered Nurse 2221 Oak St, Forest Grove, OR 97116 2010-08-24
1811229792 Rachel Lucinda Erin Dilly Speech-Language Pathologist 3300 19th Ave., Forest Grove, OR 97116 2010-02-03
1720286339 Thuymai Anna Fee Physical Therapist Custom Care Physical Therapy, 4150 Pacific Ave. #100, Forest Grove, OR 97116 2007-07-05
1629102454 Lois Elizabeth Yevdalcia Dimick Massage Therapist 2004 Main St, Suite 204, Forest Grove, OR 97116 2007-03-15
1023159936 Ninette Kay Foster Contractor 2329 Pacific Ave., Forest Grove, OR 97116 2007-02-12
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952902751 Elise Michelle Edward Dietitian, Registered 5098 Sw Technology Loop Apt 205, Corvallis, OR 97333-1591 2020-11-06
1386245256 Aloura Linfesty Dietitian, Registered 12944 Sw Sara Dr, Gaston, OR 97119-8580 2020-11-05
1699375394 Ashlyn Hiserote Dietitian, Registered 7063 Se Horntail Ln, Hillsboro, OR 97123-2244 2020-10-30
1235739277 Total Body Knowledge Dietitian, Registered 2314 Hempstead St Apt 3, Medford, OR 97501-0259 2020-10-29
1700484805 Christine Charlotte Madzik Dietitian, Registered 655 E 43rd Ave, Eugene, OR 97405-3928 2020-10-12
1578160784 Kristen Bowman Dietitian, Registered 749 Rabbit Run St, Stayton, OR 97383-1697 2020-10-01
1609483064 Alayna Louise Hutchinson Dietitian, Registered 5258 Ne Cleveland Ave, Portland, OR 97211-2614 2020-09-29
1396350229 Chelsea Elizabeth Horvath Dietitian, Registered 2831 Se Palmquist Rd Apt 153, Gresham, OR 97080-5276 2020-09-08
1720692007 Gabrielle Anastasia Humlie Dietitian, Registered 109 W 8th St, Newberg, OR 97132 2020-09-03
1275147670 Karina Ann Inouye Dietitian, Registered 13804 Sw Anna Ct, Tigard, OR 97223-2114 2020-09-02
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Competitor

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City FOREST GROVE
Zip Code 97116

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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