Davitt, James S

Davitt, James S is an individual health care provider with primary practice located at 11782 Sw Barnes Rd 300, Portland OR 97225-5914. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Davitt, James S can be contacted via phone (503) 214-5200.

Contact Information

Primary practice address
11782 Sw Barnes Rd 300 Portland OR 97225-5914
Phone: (503) 214-5200
Fax: (503) 906-6613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 23061 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD23061 Oregon
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 23061 Oregon

Profile Details

NPI number 1255374740
LBN Legal business name Davitt, James S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jun 7th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255374740 NPPES
Oregon Other MD23061 OREGON MEDICAL LICENSE
Oregon MEDICAID 229314 OREGON MEDICAL LICENSE

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