# DEWAYNE DITTO, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891097754
- **Authorized official:** DEWAYNE EDWIN DITTO MD (PRESIDENT)
- **Authorized official phone:** (503) 372-2740

## Contact information

- **Practice address:** 940 COUNTRY CLUB RD, EUGENE, OR 97401-2208
- **Practice address phone:** (541) 344-2600
- **Mailing address:** PO BOX 4008, PORTLAND, OR 97208-4008
- **Mailing address phone:** (503) 372-2740
- **Mailing address fax:** (503) 372-2754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2010
- **Last updated:** 11/29/2010