Individual Provider

-- JAMES FRANCIS DEITLE PA-C

NPI Number1003000753

Practice Location

501 N GRAHAM ST

SUITE #580

PORTLAND, OR, 97227-1654

Phone

(503) 528-0704

Fax

(503) 528-0708

Mailing Address

501 N GRAHAM ST

SUITE #580

PORTLAND, OR, 972271654

Phone

(503) 528-0704

Fax

(503) 528-0708

License Information

License Number

153509

State: OR

Important Dates

Enumeration Date

September 5, 2007

Last Updated

January 22, 2011