Individual
DEANE C DE FONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
426 SW STARK ST, 8TH FLOOR, PORTLAND, OR 97204-2347
(503) 988-3674
(503) 988-3142
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MC24712
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022959
—
OR
Enumeration date
03/13/2007
Last updated
06/12/2025
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