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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JAMES F DEITLE, PA-C
501 N GRAHAM ST
SUITE #580
PORTLAND, OR97227-1654
 Phone: 503-528-0704
 Fax: 503-528-0708
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JAMES F DEITLE · (Male)

NPI Number 1003000753
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/05/2007
Last updated 01/22/2011 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 664
  • OR License # 153509
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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