Deitering, Paul J
Deitering, Paul J is an individual health care provider with primary practice located at 9427 Sw Barnes Rd Suite 490, Portland OR 97225-6652. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Deitering, Paul J can be contacted via phone (503) 291-2123.Contact Information
Primary practice address
9427 Sw Barnes Rd Suite 490
Portland OR 97225-6652
Phone: (503) 291-2123
Fax: (503) 292-1860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | PA00711 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00711 | Oregon |
Profile Details
| NPI number | 1598701690 |
|---|---|
| LBN Legal business name | Deitering, Paul J |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Mar 9th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598701690 | NPPES |
| Oregon | MEDICAID | 286755 |
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