Individual
JAMES FRANCIS DEITLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
501 N GRAHAM ST, SUITE #580, PORTLAND, OR 97227-1654
(503) 528-0704
(503) 528-0708
Mailing address
501 N GRAHAM ST, SUITE #580, PORTLAND, OR 97227-1654
(503) 528-0704
(503) 528-0708
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
153509
OR
363A00000X
Physician Assistant
664
AK
Other
Enumeration date
09/05/2007
Last updated
01/22/2011
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