Heidi Kathleen Hicinbothom is a peer specialist in Grand Ronde, OR. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Heidi Kathleen Hicinbothom NPI is 1023534252. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
9605 GRAND RONDE RD
GRAND RONDE, OR
ZIP 97347-712
Phone: (503) 879-2026
The enumeration date for this NPI number is 8/18/2017 and was last updated on 12/2/2021.