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Dr. Richard Carlton Heitsch, MD,MPH,FACS
General Practice Physician in Portland, Oregon
NPI 1447449368

Richard Carlton Heitsch is a General Practice Physician based in Portland, OR. Richard Carlton Heitsch practices in Portland, OR and has the professional credentials of MD,MPH,FACS. The NPI Number for Richard Carlton Heitsch is 1447449368 and holds a License No. 11610 (Oregon).

The current practice location address for Richard Carlton Heitsch is 163 Ne 102Nd Ave, Portland, OR and can be reached out via phone at 503-257-3327 and via fax at 503-257-3374. You can also correspond with Richard Carlton Heitsch through the mailing address at 163 NE 102ND AVE, PORTLAND, OR - 97220-4169 (mailing address contact number: 503-257-3327).

Location: 163 Ne 102Nd Ave, Portland, OR, 97220-4169
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Provider Profile Details
NPI Number
1447449368
Provider Name
Richard Carlton Heitsch
Credential
MD,MPH,FACS
Provider Entity Type
Individual
Gender
Male
Address
163 Ne 102Nd Ave, Portland, OR, 97220-4169
Phone Number
503-257-3327
Fax Number
503-257-3374
Provider Enumeration Date
10/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00078868 01 OR MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
163 Ne 102Nd Ave
City
State
Zip
97220-4169
Phone Number
503-257-3327
Fax Number
503-257-3374
person
Provider Business Mailing Address Details
Address
163 Ne 102Nd Ave
City
State
Zip
97220-4169
Phone Number
503-257-3327
Fax Number
503-257-3374
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
11610 (Oregon)
Definition
Definition to come...
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