Individual
DR. EDWARD ALAN HEUSCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2812 SE STEELE ST, PORTLAND, OR 97202-4525
(503) 234-0989
(503) 234-6816
Mailing address
2812 SE STEELE ST, PORTLAND, OR 97202-4525
(503) 234-0989
(503) 234-6816
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
8946
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085720
—
OR
Enumeration date
10/31/2005
Last updated
07/08/2007
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