MICHAEL A HETRICK MD
NPI 1114958931
Pediatrics in La Grande, OR

Active since July 06, 2006
612 SUNSET DR, LA GRANDE, OR 97850(541) 663-3150(541) 975-5111 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael A Hetrick Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL A HETRICK MD (NPI 1114958931) is an individual pediatrics provider in La Grande, Oregon, licensed in Oregon (MD13074) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1114958931
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMICHAEL A HETRICKCredential: MD
Location Address612 SUNSET DRLa Grande, OR 97850-1248
Mailing Address612 Sunset DrLa Grande, OR 97850-1248 · (541) 663-3150 · Fax (541) 975-5111
Fax(541) 975-5111
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateDecember 18, 2007
NPI 1114958931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in OR · MD13074
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
612 SUNSET DR, La Grande, OR 97850

Other Identifiers 1

Medicare UPIND86855

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
612 SUNSET DR
LA GRANDE, OR 97850
Pediatrics
612 SUNSET DR
LA GRANDE, OR 97850
Pediatrics
612 SUNSET DR
LA GRANDE, OR 97850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Hetrick's NPI number?

The NPI number for Michael Hetrick is 1114958931. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Michael Hetrick located?

Michael Hetrick practices at 612 Sunset Dr, La Grande, OR 97850. The listed phone number is (541) 663-3150.

What is Michael Hetrick's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Michael Hetrick was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.