NPI 1093117228

Caitlin Hodges Dedeaux, PA

Practitioner Neurological Surgery Physician Portland, OR

Practice location

Address: 3303 SW Bond Ave, Portland, OR 97239-4501
Phone: (503) 494-7737
Mailing address: 245 SW Lincoln St APT 5532, Portland, OR 97201-5052

Registered specialties (2)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence PA172323 (OR)

Other Neurological Surgery providers in Oregon →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA.200756 (LA)

Other Physician Assistant providers in Oregon →

Registry record

NPI: 1093117228
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Sep 2014
Record last updated: 30 Oct 2015

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.