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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598701690 NPPES
Oregon MEDICAID 286755

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