Individual
DR. MICHAEL HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2440 NW EDENBOWER BLVD, ROSEBURG, OR 97471-8847
(541) 957-1141
(541) 957-1466
Mailing address
2440 NW EDENBOWER BLVD, ROSEBURG, OR 97471-8847
(541) 957-1141
(541) 957-1466
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD215326
OR
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD215326
OR
207R00000X
Internal Medicine Physician
313363
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2017
Last updated
09/18/2025
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