Individual provider · Type 1 NPI

Joe-La Daniele Dewitt, DO

Obstetrics & Gynecology Physician · Portland, OR

NPI number 1245400571 Active

Practice location

4805 NE Glisan St Unit 3K
Portland, OR 97213-2933

Call (503) 215-6150 Map

Mailing address

4805 NE Glisan St
Portland, OR 97213-2933

Other practice locations

  • 400 S 43rd St, Renton, WA 98055-5714 · (425) 690-1000
  • 500 Campus Dr, Hancock, MI 49930 · (906) 483-1050

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XDO227852 (OR)
Obstetrics & Gynecology Physician 207V00000XOP70076199 (WA)
Hospitalist Physician 208M00000XOP70076199 (WA)
Obstetrics & Gynecology Physician 207V00000X5101016130 (MI)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2 other providers at this address

Other obstetrics & gynecology physician providers in Portland

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About NPI 1245400571

Joe-La Daniele Dewitt, DO's National Provider Identifier is 1245400571, issued on Mar 3, 2008. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Portland, OR. The record was last updated on Apr 13, 2026.