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RANDY HEATER
NPI 1306209838
Counselor - Addiction (Substance Use Disorder) in Tigard, OR

Active since April 01, 2016
10763 SW GREENBURG RD STE 100, TIGARD, OR 97223(503) 684-8159(503) 598-0934 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2018, Apr 1, 2016 (2 updates tracked since 2016).

About Randy Heater NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDY HEATER (NPI 1306209838) is an individual addiction (substance use disorder) provider in Tigard, Oregon, licensed in Oregon (15-P-04) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1306209838
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRANDY HEATER
Location Address10763 SW GREENBURG RD STE 100Tigard, OR 97223-5492
Mailing Address10763 Sw Greenburg Rd Ste 100Tigard, OR 97223-5492 · (503) 684-8159 · Fax (503) 598-0934
Phone(503) 684-8159
Fax(503) 598-0934
Sole ProprietorNo
Enumeration DateApril 1, 2016
Last NPPES UpdateApril 11, 20182 updates tracked since enumeration
✔ NPI 1306209838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 15-P-04
10763 SW GREENBURG RD STE 100, Tigard, OR 97223
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA ANN ALLEN MS, CADCIII
Counselor (Addiction (Substance Use Disorder))
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223
Washington County (503) 684-8159
ASHLEY LEGAULT LPN
Licensed Practical Nurse
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223
Washington County (503) 684-8159
SHAUNA FORRESTER LPN
Licensed Practical Nurse
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223
Washington County (503) 684-8159
CECILIA ANTONIA GARCIA FLORES
Licensed Practical Nurse
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223
Washington County (503) 684-8159
HEIDI CAMPOS
Licensed Practical Nurse
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223
Washington County (503) 684-8159
LAURA BETH GRIFFIN LPN
Licensed Practical Nurse
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223
Washington County (503) 684-8159
SAMANTHA STATLER
Counselor (Addiction (Substance Use Disorder))
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223
Washington County (503) 684-8159
MARGARET DIANE FRAZE CADC I/QMHA-R
Counselor (Addiction (Substance Use Disorder))
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223
Washington County (503) 686-8159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Heater's NPI number?

The NPI number for Randy Heater is 1306209838. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Randy Heater located?

Randy Heater practices at 10763 SW Greenburg Rd Ste 100, Tigard, OR 97223. The listed phone number is (503) 684-8159.

What is Randy Heater's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Randy Heater was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.