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Individual

DR. JOHN M LETOVSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9450 SW BARNES RD, SUITE 100, PORTLAND, OR 97225-6619
(503) 292-9560
Mailing address
101 DEER VALLEY DR, EUGENE, OR 97405-3568

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20127
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
082169
OR
Enumeration date
03/03/2006
Last updated
01/21/2013
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