Provider Demographics
NPI:1730176546
Name:HEIN, JANINE NATALIE (MD)
Entity type:Individual
Prefix:DR
First Name:JANINE
Middle Name:NATALIE
Last Name:HEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1193
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97339-1193
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:35 MULLINS DR
Practice Address - Street 2:SUITE 2
Practice Address - City:LEBANON
Practice Address - State:OR
Practice Address - Zip Code:97355-3985
Practice Address - Country:US
Practice Address - Phone:541-451-7915
Practice Address - Fax:541-451-7943
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37907207Q00000X
ORMD22425207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN134260514OtherTRICARE
TNH02058OtherHEALTHSPRING
TN134260514OtherUNITED HEALTH
TN5360352OtherCCN
TN134260514OtherFOCUS
TN134260514OtherPHCS
TN12451787OtherAETNA
TN134260514OtherGEHA
TN134260514OtherCORVEL
TN134260514OtherHUMANA
TN134260514OtherSIGNATURE HEALTH
TN1846899OtherFIRST HEALTH
TN3890471Medicaid
TN7130989OtherCIGNA
TN4078730OtherBLUE CROSS BLUE SHIELD
TN1846899OtherFIRST HEALTH
TN134260514OtherHUMANA