IndividualActive
Heidi Mort
NPI 1407486558 · Dental Assistant · Salem, OR
Provider details
- NPI number
- 1407486558
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
5135 Skyline Rd S
Salem, OR 97306-9427
Phone: (503) 370-4311
Approximate (ZIP-level) locationGet directions
Mailing address
5135 Skyline Rd S
Salem, OR 97306
Registry dates
- Enumerated
- 2020-01-16
- Last updated
- 2020-01-16
- Certified
- 2020-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.