Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael A Hetrick, MD

Individual provider Pediatrics Physician · NPI 1114958931

Michael A Hetrick, MD is a Pediatrics Physician in LA Grande, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

612 Sunset Dr
LA Grande, OR 97850-1248
Phone: (541) 663-3150
Fax: (541) 975-5111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD13074 (OR)

Record details

NPI number1114958931
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESDecember 18, 2007
Mailing address612 Sunset Dr, La Grande, OR 97850-1248

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