Individual
DR. JONATHAN ALLYN RETTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10180 SE SUNNYSIDE RD, PULMONOLOGY DEPARTMENT KAISER SUNNYSIDE MEDICAL OFFICE, CLACKAMAS, OR 97015-9764
(503) 813-3860
(503) 571-9443
Mailing address
10180 SE SUNNYSIDE RD, PULMONOLOGY DEPARTMENT KAISER SUNNYSIDE MEDICAL OFFICE, CLACKAMAS, OR 97015-9764
(503) 813-3860
(503) 571-9443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00043835
WA
207R00000X
Internal Medicine Physician
MD21277
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00043835
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD21277
OR
207RP1001X
Pulmonary Disease Physician
MD00043835
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD21277
OR
Other
Enumeration date
08/25/2006
Last updated
08/26/2008
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