James Francis Deitle PA-C

NPI 1003000753 - Physician Assistant - 363A00000X

NPI Details
NPI 1003000753
Gender Male
Enumeration Date 09/05/2007
Last Updated 01/22/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
501 N GRAHAM ST
SUITE #580
PORTLAND OR, 97227-1654, US
Phone (503) 528-0704
Fax (503) 528-0708
Business Location
501 N GRAHAM ST
SUITE #580
PORTLAND OR, 97227-1654, US
Phone (503) 528-0704
Fax (503) 528-0708
Toxanomy
Taxonomy Code 363A00000X
License State Alaska
License Number 664
Remove 1003000753 NPI Number
 

According to our database, James Francis Deitle PA-C NPI is 1003000753, taxonomy code is 363A00000X and license number is 664, license state is located at Alaska. James Francis Deitle PA-C physically located at 501 N Graham St, Portland OR, 97227-1654. NPI Number James Francis Deitle PA-C has the Individual type.

Sponsored links

1003000753 NPI number is provided on an as is basis without warranty of any kind. 1003000753 is maintained by the National Plan & Provider Enumeration System. The contents of James Francis Deitle PA-C are for informational purposes only.