Goetz, Heidi
Goetz, Heidi is an individual health care provider with primary practice located at 425 Sw Alderidge Dr , Portland OR 97225-6449. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Goetz, Heidi can be contacted via phone (503) 292-5624.Contact Information
Primary practice address
425 Sw Alderidge Dr
Portland OR 97225-6449
Phone: (503) 292-5624
Fax: (503) 297-4714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD15962 | Oregon |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | MD15962 | Oregon |
Profile Details
| NPI number | 1376519207 |
|---|---|
| LBN Legal business name | Goetz, Heidi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Oct 1st, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376519207 | NPPES |
| Oregon | MEDICAID | 068973 | |
| Oregon | MEDICAID | 1051523 | |
| Oregon | MEDICAID | XPY197514 | |
| Oregon | MEDICAID | MD244OR | |
| Oregon | Other | 050041429 | |
| Oregon | MEDICAID | 1376519207 |
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