Individual
DR. PATRICIA L JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 608-4700
Mailing address
132 MANZANITA ST, CENTRAL POINT, OR 97502-2049
(541) 664-5151
(541) 664-5155
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD17141
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083548
—
OR
Enumeration date
08/17/2005
Last updated
11/30/2007
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