NPI 1003000753

James Francis Deitle, PAC

Practitioner Physician Assistant Portland, OR

Practice location

Address: 501 N Graham St Suite #580, Portland, OR 97227-1654
Phone: (503) 528-0704
Fax: (503) 528-0708

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 153509 (OR)

Other Physician Assistant providers in Oregon →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 664 (AK)

Registry record

NPI: 1003000753
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Sep 2007
Record last updated: 22 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.