Individual
DR. JACOB DANIEL GOERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
617 HIGH ST STE 201, OREGON CITY, OR 97045-2228
(503) 656-4123
Mailing address
617 HIGH ST STE 201, OREGON CITY, OR 97045-2228
(503) 656-4123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10871
OR
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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