Dr Jacob Goertz Dmd Llc

LBN: Dr Jacob Goertz Dmd Llc
Dr Jacob Goertz Dmd Llc is an health care organization with primary practice located at 617 High St Ste 201 , Oregon City OR 97045-2228. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Dr Jacob Goertz Dmd Llc can be contacted via phone (503) 656-4123, or through Goertz, Jacob via phone (503) 860-2625.

Contact Information

Primary practice address
617 High St Ste 201 Oregon City OR 97045-2228
Phone: (503) 656-4123
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goertz, Jacob Doctor of Dental Medicine (DMD)
Phone: (503) 860-2625

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1114564697
LBN Legal business name Dr Jacob Goertz Dmd Llc
DBA Doing business as
Authorized official Goertz, Jacob Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2019
Last updated Dec 4th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114564697 NPPES
Oregon MEDICAID 1093293946

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