Provider Demographics
NPI:1447131172
Name:HIEBEL, SAVANNAH FAYE (PHARMD)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:FAYE
Last Name:HIEBEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SAVANNAH
Other - Middle Name:FAYE
Other - Last Name:JUSTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31373 NW BROOKING ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLAINS
Mailing Address - State:OR
Mailing Address - Zip Code:97133-8253
Mailing Address - Country:US
Mailing Address - Phone:503-927-4131
Mailing Address - Fax:
Practice Address - Street 1:5717 NE 138TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-3499
Practice Address - Country:US
Practice Address - Phone:503-927-4131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0020718183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist