Individual
DR. DUANE STANLEY BIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1410 NW KEARNEY ST, SUITE 627, PORTLAND, OR 97209-2755
(503) 550-3379
(503) 233-1602
Mailing address
1410 NW KEARNEY ST, SUITE 627, PORTLAND, OR 97209-2755
(503) 550-3379
(503) 233-1602
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
09520
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016378
—
OR
Enumeration date
06/10/2006
Last updated
12/05/2007
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