Pittman, Rick Dewitt
Pittman, Rick Dewitt is an individual health care provider with primary practice located at 1793 13Th St Se , Salem OR 97302-2541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Pittman, Rick Dewitt can be contacted via phone (503) 362-8385.Contact Information
Primary practice address
1793 13Th St Se
Salem OR 97302-2541
Phone: (503) 362-8385
Fax: (503) 362-8435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD15726 | Oregon |
Profile Details
| NPI number | 1104990175 |
|---|---|
| LBN Legal business name | Pittman, Rick Dewitt |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1104990175 | NPPES |
| Oregon | MEDICAID | 049148 |
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