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Individual
JAMES S DAVITT
Active
Individual
JAMES S DAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
23061
OR
207Q00000X
Family Medicine Physician
MD23061
OR
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
23061
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229314
—
OR
01
—
MD23061
OREGON MEDICAL LICENSE
OR
Enumeration date
06/13/2006
Last updated
06/07/2021
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