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1063447100
JODY L PETTIT
PORTLAND, OR
NPI
1063447100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD20585)
Enumeration Date
2006-07-11
Last Update Date
2022-07-21
Business Address
JODY L PETTIT MD
800 SW 13TH AVE
PORTLAND, OR 97205-1902
Phone number: 503-221-0161
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Mailing Address
JODY L PETTIT MD
800 SW 13TH AVE
PORTLAND, OR 97205-1902
Phone number: 503-221-0161
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