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Contact Information

HEIDI GOETZ, MD
425 SW ALDERIDGE DR
PORTLAND, OR97225-6449
 Phone: 503-292-5624
 Fax: 503-297-4714
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for HEIDI GOETZ · (Female)

NPI Number 1376519207
Status Active
Credentials MD
Entity Individual
Enumeration date 02/28/2006
Last updated 10/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD15962
  • AK Medicaid MD244OR
  • CA Medicaid XPY197514
  • MT Medicaid 1376519207
  • OR Medicaid 068973
  • WA Medicaid 1051523
  • OR Other 050041429 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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