Individual
MR. JOHN ADAMS FITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(503) 361-5400
Mailing address
34710 WEBBER DR, LEBANON, OR 97355-9231
(541) 451-5717
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OR PA00375
OR
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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