Heusch, Edward Alan
Heusch, Edward Alan is an individual health care provider with primary practice located at 2812 Se Steele St , Portland OR 97202-4525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Heusch, Edward Alan can be contacted via phone (503) 234-0989.Contact Information
Primary practice address
2812 Se Steele St
Portland OR 97202-4525
Phone: (503) 234-0989
Fax: (503) 234-6816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 8946 | Oregon |
Profile Details
| NPI number | 1518958461 |
|---|---|
| LBN Legal business name | Heusch, Edward Alan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jul 8th, 2007 - 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 | 1518958461 | NPPES |
| Oregon | MEDICAID | 085720 |
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