Individual
DR. JEFFREY C PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
269 SW 19TH ST, ONTARIO, OR 97914-1972
(541) 889-3106
(541) 889-3904
Mailing address
269 SW 19TH ST, ONTARIO, OR 97914-1972
(541) 889-3106
(541) 889-3904
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13467
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026523
—
OR
05
—
8074625
—
ID
Enumeration date
12/04/2006
Last updated
07/08/2007
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