Roman Tobias Pettigrew, DO - Portland, OR

Roman Tobias Pettigrew, DO

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI 1043914419

Roman Tobias Pettigrew is a Student in an Organized Health Care Education/Training Program based in Kennebunk, OR. Roman Tobias Pettigrew practices in Portland, OR and has the professional credentials of DO. The NPI Number for Roman Tobias Pettigrew is 1043914419 and holds a License No. (Oregon).

The current practice location address for Roman Tobias Pettigrew is 1015 Nw 22Nd Ave, Portland, OR and can be reached out via phone at 503-413-8401.

Location: 1015 Nw 22Nd Ave, Portland, OR, 04043-7293

NPI Number

1043914419

Provider Name

Roman Tobias Pettigrew

Credential

Provider Entity Type

Individual

Gender

Male

Address

1015 Nw 22Nd Ave, Portland, OR, 04043-7293

Phone Number

503-413-8401

Fax Number

Provider Enumeration Date

03/29/2023

Last Update Date

03/10/2024

Address

1015 Nw 22Nd Ave

City

Portland

State

Oregon

Zip

97210-3025

Phone Number

503-413-8401

Fax Number

Address

1015 Nw 22Nd Ave

City

Portland

State

Oregon

Zip

97210-3025

Phone Number

503-413-8401

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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