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JAMES FRANCIS DEITLE PA-C NPI 1003000753

NPI Profile

NPI: 1003000753
Provider Name: JAMES FRANCIS DEITLE, PA-C
Classification: Physician Assistant - 363A00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
501 N GRAHAM ST
SUITE #580
PORTLAND, OR
ZIP 97227

Phone: (503) 528-0704

James Francis Deitle, PA-C is a healthcare provider in Portland, OR.The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. James Francis Deitle, PA-C NPI is 1003000753. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 N GRAHAM ST
SUITE #580
PORTLAND, OR
ZIP 97227-654
Phone: (503) 528-0704
Fax: (503) 528-0708

The NPI 1003000753 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 1/22/2011.

Map - Location of Practice

Business Address

JAMES FRANCIS DEITLE, PA-C
501 N GRAHAM ST
SUITE #580
PORTLAND, OR
ZIP 97227
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Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant664ALASKANo
2363A00000XPhysician Assistant153509OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/10/2018

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.