Most Relevant Information
Provider Data
| NPI Number: | 1003000753 |
| Provider Name: | JAMES FRANCIS DEITLE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 153509 |
Most Important Dates
| Enumeration Date: | 09/05/2007 |
| Last Updated: | 01/22/2011 |
Provider Practice Location
501 N GRAHAM ST
SUITE #580
PORTLAND
OR
972271654
Practice Location Phone/Fax
| Phone: | 5035280704 |
| Fax: | 5035280708 |
Provider Mailing Location
501 N GRAHAM ST
SUITE #580
PORTLAND
OR
972271654
Provider Mailing Phone/Fax
| Phone: | 5035280704 |
| Fax: | 5035280708 |