Organization
GOLDMARK WOUND SPECIALTY GROUP PDX, LLC
Active
Other names
Regencare Wound Care Providers PDX
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEIDI HAGMAN MD (MEDICAL DIRECTOR/ OWNER)
(971) 910-3888
Entity
Organization
Contact information
Practice address
7150 SW HAMPTON ST STE 101, TIGARD, OR 97223-8365
(971) 236-4445
(971) 236-4445
Mailing address
7150 SW HAMPTON ST STE 101, TIGARD, OR 97223-8365
(971) 236-4445
(971) 236-4445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
05/29/2025
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