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-- CAITLIN HODGES DEDEAUX -- PA

Individual Provider (NPI-1) Active

Neurological Surgery

Provider Information

NPI Number
1093117228
Provider Type
Individual Provider (NPI-1)
Credentials
PA
Status
Active

Contact & Location

Address
3303 SW BOND AVE, PORTLAND, OR, 972394501
Phone
(503) 494-7737

Specialties & Taxonomies

Physician Assistant License: LA #PA.200756
Neurological Surgery Primary License: OR #PA172323

All Addresses

LOCATION

3303 SW BOND AVE

PORTLAND, OR, 972394501

(503) 494-7737

MAILING

245 SW LINCOLN ST APT 5532

PORTLAND, OR, 972015052

(225) 247-1375