Linda L Desitter
Family Doctor Hospice and Palliative Medicine
6410 Ne Halsey St Suite 600
Portland
, Oregon 97213-4742
Linda L Desitter
Family Doctor Hospice and Palliative Medicine
6410 Ne Halsey St Suite 600
Portland
, Oregon 97213-4742
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About
Features
Specialties
- Family Doctor
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Linda L Desitter
- Po Box 3158
- Portland, OR
- Zip : 97208-3158
- Phone :
Second Address
- Linda L Desitter
- 6410 Ne Halsey St Suite 600
- Portland, OR
- Zip : 97213-4742
- Phone : (503) 215-2669
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | MD15061 | OR |
| Y | 207RH0002X | Hospice and Palliative Medicine | MD15061 | OR |
National Provider Identifier
| NPI | 1336296243 |
|---|---|
| Provider Name | Linda L Desitter |
| First Address | Portland, OR 97208-3158 |
| Second Address | Portland, OR 97213-4742 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2007 |
| Last Update Date | 28/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A53110 | (02) | OR |
| P01215617 | RR MEDIARE - PHS (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.