Individual
DEBBIE ANN GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 SW CEDAR HILLS BLVD, 203, BEAVERTON, OR 97005-2027
(503) 680-4612
Mailing address
3800 SW CEDAR HILLS BLVD, 203, BEAVERTON, OR 97005-2027
(503) 680-4612
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11405
OR
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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