Individual
JOHN TYSON VETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5501
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD17316
OR
2086X0206X
Surgical Oncology Physician
Primary
MD17316
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033188
—
OR
Enumeration date
08/03/2006
Last updated
03/12/2014
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