James John Heidrick | Portland, OR • PECOS Search

James John Heidrick

Counselor

Behavioral Health & Social Service Providers

131 NE 102nd Ave, Portland, OR 97220-4167

PECOS Enrollment

Based on the most recent information from CMS, provider James John Heidrick does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1568509677
Provider Type
Individual
Full Name
Heidrick, James John
Credential
QMHA

Gender
Male
Sole Proprietor
No
Enumeration Date
1/30/2007
Last Updated
11/2/2025

Contact Information

Practice Location

131 NE 102nd Ave, Portland, OR 97220-4167

Unlisted Fax

Mailing Location

131 NE 102nd Ave, Portland, OR 97220-4167

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer