# JEFFREY C PITTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ontario Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871663195
- **Authorized official:** DR. JEFFREY C PITTS MD (OWNER MANAGER SOLE PROPRIETOR)
- **Authorized official phone:** (541) 889-3106

## Contact information

- **Practice address:** 269 SW 19TH ST, ONTARIO, OR 97914-1972
- **Practice address phone:** (541) 889-3106
- **Practice address fax:** (541) 889-3904
- **Mailing address:** 269 SW 19TH ST, ONTARIO, OR 97914-1972
- **Mailing address phone:** (541) 889-3106
- **Mailing address fax:** (541) 889-3904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 13467 | OR | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 10/22/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010008479 | BS | ID |
| 05 | — | 026523 | — | OR |
| 01 | — | 0905376 | CHAMPUS | — |
| 01 | — | 180001596 | RR MEDICARE | — |
| 01 | — | 2507 | SAIF | OR |
| 01 | — | 52290 | BC | ID |
| 05 | — | 8074625 | — | ID |
| 01 | — | 840399000 | BC | OR |
