NPI 1124620802
David Pettit
Practice location
- Address
- 1584 NE 8th St STE 208, Gresham, OR 97030-5746
- Phone
- (503) 230-0207
- Fax
- (503) 230-0208
Registered specialties
Denturist
Primary
Registry record
- NPI
- 1124620802
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Nov 2020
- Record last updated
- 8 Jul 2025
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.