Goldmark Wound Specialty Group PDX, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GOLDMARK WOUND SPECIALTY GROUP PDX, LLC

Doing business as

Regencare Wound Care Providers PDX

Practice address

7150 SW Hampton St Ste 101
Tigard, OR 97223-8365

Phone

(971) 236-4445

Fax

(971) 236-4445

NPI assigned

Nov 22, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Heidi Hagman, MD

Title

Medical Director/ Owner

Phone

(971) 910-3888

Specialties & licenses 1

Addresses

Other names 1

• Regencare Wound Care Providers PDX Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1851116974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 SW HAMPTON ST STE 101",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238365",
            "telephone_number": "971-236-4445",
            "fax_number": "971-236-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 SW HAMPTON ST STE 101",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238365",
            "telephone_number": "971-236-4445",
            "fax_number": "971-236-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDMARK WOUND SPECIALTY GROUP PDX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "HAGMAN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "971-910-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regencare Wound Care Providers PDX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Amrofell Goff, L.AC.
• Stephen Andrew Goins
• Brooke Sheila Golden, BSW
• Goldmark Wound Specialty Group Deschutes, LLC
• Goldmark Wound Specialty Group Mpo, LLC
• Enrique Gomez Morayta, M.D.
• Trinidad Lavone Gomez-Michael
• Maureen Matthews Gonzales, PT
• Ross Richard Gonzales, LPC
• Jose Manuel Gonzalez-Villavicencio, CRM

• Family Medicine Physician in Tigard, OR
• Providers in Tigard, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.