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Primary Practice Address
501 N GRAHAM ST SUITE #580
PORTLAND, OR 97227-1654 US
PECOS Enrolled

James Francis Deitle

Physician Assistant


James Francis Deitle

Overview

James Francis Deitle is a Physician Assistant in the PORTLAND area and has over 49 years of experience. James Francis Deitle primary office location is at 501 N GRAHAM ST and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1975 The NPI number is 1003000753 and the information was updated approximately 13 years ago.

James Francis Deitle is affiliated with one medical group in the PORTLAND area, EASTERN ALEUTIAN TRIBES, INC..

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
501 N GRAHAM ST SUITE #580
PORTLAND, OR 97227-1654 US
Phone: (503)-528-0704
Fax:
Practice Mailing Information
501 N GRAHAM ST
PORTLAND, OR 97227-1654 US
Phone: (503)-528-0704
Fax: (503)-528-0708
License NumberState
153509OR
664AK

No Identifiers found

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20100619000136
PECOS Individual PAC ID:5496704884
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes