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Organization

DEWAYNE DITTO, MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEWAYNE EDWIN DITTO MD (PRESIDENT)
(503) 372-2740
Entity
Organization

Contact information

Practice address
940 COUNTRY CLUB RD, EUGENE, OR 97401-2208
(541) 344-2600
Mailing address
PO BOX 4008, PORTLAND, OR 97208-4008
(503) 372-2740
(503) 372-2754

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
11/29/2010
Last updated
11/29/2010
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