Individual
LINDA L DESITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Mailing address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD15061
OR
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD15061
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01215617
RR MEDIARE - PHS
OR
Enumeration date
01/04/2007
Last updated
05/27/2025
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