Richard Carlton Heitsch in Portland - General Practice

Richard Carlton Heitsch - NPI 1447449368

Richard Carlton Heitsch is a General Practice in Portland, Oregon. Richard Carlton Heitsch practices all healthcare services and medical treatments related to General Practice. The NPI Number for Richard Carlton Heitsch is 1447449368. The last update date is 2008-01-22.

Richard Carlton Heitsch's current location address is 163 Ne 102nd Ave, Portland, Oregon. You can contact this provider via phone number 5032573327 and fax number 5032573374. The mailing address for Richard Carlton Heitsch is 163 Ne 102nd Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Carlton Heitsch
Address 163 Ne 102nd Ave, Portland, Oregon
Phone Number 5032573327
Fax Number 5032573374
Sole Proprietor N
Credentials MD, MPH, F

NPI Number Detail

NPI Number 1447449368
Provider Enumeration Date 2007-10-16
Last Updated Date 2008-01-22

Provider Mailing Address Detail

Address 163 Ne 102nd Ave
City Portland
State Oregon (OR)
Post Code 972204169
Phone Number 5032573327
Fax Number 5032573374

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 11610
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00078868 OR MEDICARE RAILROAD

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FAQs about Richard Carlton Heitsch

What is the unique identifier code issued to Richard Carlton Heitsch by the Centers for Medicare & Medicaid Services?

The Richard Carlton Heitsch has been assigned the NPI (National Provider Identifier) 1447449368. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Richard Carlton Heitsch's facilities are geographically located?

The facilities of Richard Carlton Heitsch are physically situated at the following location: 163 Ne 102Nd Ave, Portland, OR, 972204169.

What is Richard Carlton Heitsch's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Richard Carlton Heitsch is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.

On what date did the Richard Carlton Heitsch receive its 1447449368 assignment from the Centers for Medicare & Medicaid Services?

The Richard Carlton Heitsch was assigned its 1447449368 by the Centers for Medicare & Medicaid Services on 2007-10-16.

When was the information pertaining to Richard Carlton Heitsch most recently updated or revised?

The details related to Richard Carlton Heitsch, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-22.

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