Heitsch, Richard Carlton
Heitsch, Richard Carlton is an individual health care provider with primary practice located at 163 Ne 102Nd Ave Building V, Portland OR 97220-4169. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Heitsch, Richard Carlton can be contacted via phone (503) 257-3327.Contact Information
Primary practice address
163 Ne 102Nd Ave Building V
Portland OR 97220-4169
Phone: (503) 257-3327
Fax: (503) 257-3374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 11610 | Oregon |
Profile Details
| NPI number | 1447449368 |
|---|---|
| LBN Legal business name | Heitsch, Richard Carlton |
| Credentials | MD, MPH, FACS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2007 |
| Last updated | Jan 22nd, 2008 - about 17 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 | 1447449368 | NPPES |
| Oregon | Other | P00078868 | MEDICARE RAILROAD |
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