| Heidi Michelle Sheridan, AU | |
|
1160 Wallace Rd Nw, Salem, OR 97304-3116 | |
| (503) 331-3060 | |
| Not Available |
| Full Name | Heidi Michelle Sheridan |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 1160 Wallace Rd Nw, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215060017 | NPI | - | NPPES |
| 500668711 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 61094500 (Washington) | Secondary |
| 231H00000X | Audiologist | 30791 (Oregon) | Primary |
| Provider Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Michelle Sheridan, AU 1160 Wallace Rd Nw Ste 150, Salem, OR 97304-3116 Ph: (503) 331-3060 | Heidi Michelle Sheridan, AU 1160 Wallace Rd Nw, Salem, OR 97304-3116 Ph: (503) 331-3060 |
Mr. Christopher Scot Frink, M.S. F-AAA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3857 Wolverine Street Ne #16c, Salem, OR 97305 Phone: 503-588-1039 Fax: 503-588-1468 | |
Glenda Audrey Smith Fowler, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2611 Pringle Rd Se, Salem, OR 97302 Phone: 503-385-4709 | |
Ohrc Salem Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1560 Commercial St Se, Salem, OR 97302 Phone: 360-816-2958 | |
Nadine Smith Palmateer, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3099 River Rd S, Salem, OR 97302 Phone: 503-485-2581 Fax: 503-485-2564 | |
Crystal Miyake, MSCCCA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3099 River Rd S, Ste 150, Salem, OR 97302 Phone: 503-485-2581 Fax: 503-485-2564 | |
Dr. Holli J Christensen, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 340 Vista Ave Se Ste 100, Salem, OR 97302 Phone: 503-877-9966 |