Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD16080 | OR |
Y | 208600000X | Surgeon | MD16080 | OR |
N | 2082S0105X | Plastic Hand Surgeon | MD16080 | OR |
NPI | 1568448959 |
---|---|
Provider Name | Douglas A Bitter |
First Address | Roseburg, OR 97471-8822 |
Second Address | Roseburg, OR 97471-8822 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 22/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
095786 | (05) | OR |
E79233 | (02) |