Goertz, James D

Goertz, James D is an individual health care provider with primary practice located at 617 High St Ste 201, Oregon City OR 97045-2228. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Goertz, James D can be contacted via phone (503) 656-4123.

Contact Information

Primary practice address
617 High St Ste 201 Oregon City OR 97045-2228
Phone: (503) 656-4123
Fax: (503) 656-8506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5178 Oregon

Profile Details

NPI number 1588669733
LBN Legal business name Goertz, James D
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588669733 NPPES
Oregon MEDICAID 076067

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