| Dr Jacob Goertz Dmd Llc | |
|
617 High St Ste 201 Oregon City OR 97045-2228 | |
| (503) 656-4123 | |
| Not Available |
| Full Name | Dr Jacob Goertz Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 617 High St Ste 201, Oregon City, Oregon |
| Authorized Official Name and Position | Jacob Goertz (OWNER) |
| Authorized Official Contact | 5038602625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Goertz Dmd Llc 617 High St Ste 201 Oregon City OR 97045-2228 Ph: () - | Dr Jacob Goertz Dmd Llc 617 High St Ste 201 Oregon City OR 97045-2228 Ph: (503) 656-4123 |
| NPI Number | 1114564697 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 12/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114564697 | NPI | - | NPPES |
| 1093293946 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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