DR. RICHARD CARLTON HEITSCH MD MPH FACS NPI 1447449368

NPI Information

NPI: 1447449368
Provider Name: DR. RICHARD CARLTON HEITSCH, MD, MPH, FACS
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
163 NE 102ND AVE
BUILDING V
PORTLAND, OR
ZIP 97220
Phone: (503) 257-3327
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DR. Richard Carlton Heitsch, MD, MPH, FACS is a general practice in Portland, OR. DR. Richard Carlton Heitsch, MD, MPH, FACS NPI is 1447449368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

163 NE 102ND AVE
BUILDING V
PORTLAND, OR
ZIP 97220-169
Phone: (503) 257-3327
Fax: (503) 257-3374

The NPI 1447449368 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/16/2007 and was last updated on 1/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		11610	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R117635	MEDICARE PIN	OREGON
2	P00078868	OTHER	OREGON	MEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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