Provider Demographics
NPI:1528108115
Name:GUITTEAU, JOHN NEWTON (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:NEWTON
Last Name:GUITTEAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3449 N ANCHOR ST STE 300A
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-7679
Mailing Address - Country:US
Mailing Address - Phone:503-283-0013
Mailing Address - Fax:503-283-0785
Practice Address - Street 1:3449 N ANCHOR ST STE 300A
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-7679
Practice Address - Country:US
Practice Address - Phone:503-283-0013
Practice Address - Fax:503-283-0785
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD14426207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine