Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Otis Heavenrich

Individual provider Speech-Language Pathologist · NPI 1518722016

Otis Heavenrich is a Speech-Language Pathologist in Astoria, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

785 Alameda Ave
Astoria, OR 97103-5947
Phone: (503) 338-8225
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 14050779 (OR)

Record details

NPI number1518722016
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 14, 2024
Last updated in NPPESFebruary 14, 2024
Certification dateFebruary 14, 2024
Mailing address35218 Mudd Ln, Astoria, OR 97103-8337

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