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Randy Dittmar, PT
NPI 1376142133 · on the registry since 2020
Practice
- Address
- 17550 Provost St Ste 201
Lake Oswego, OR 97034 - Phone
- (503) 872-2440
- Organisation at this address
- Providence Health & Services - Oregon
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 19
Additional practice sites
- 10120 Sw Park Way, Portland, OR
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-14
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 Oregon