Search › Washington › 207R00000X
Theron Pettit, MD
NPI 1245214279 · on the registry since 2005
Practice
- Address
- 700 Ne 87th Ave
Vancouver, WA 98664 - Phone
- (407) 864-3051
- Organisation at this address
- Fred Meyer Stores Inc
The Vancouver Clinic Inc Ps
The Vancouver Clinic Inc Ps
The Vancouver Clinic Pharmacy
Oregon Health & Science UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 353
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
207R00000X - Licence states on file
- WA, CA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington