Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID PETTIT
Active Sole ProprietorDAVID PETTIT is a 122400000X healthcare provider located in GRESHAM, Oregon. NPI 1124620802 is currently active in the NPPES registry. Verify at CMS.
122400000X · GRESHAM, OR
Registration Details
- NPI Number
- 1124620802
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2020 (5.5816312650336 yrs)
- Last Updated
- Jul 8, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1584 NE 8TH ST STE 208GRESHAM, OR, 970305746Browse OR providers · Browse ZIP 97030
- Phone
- 5032300207
- Fax
- 5032300208
- Primary Specialty
-
122400000X
122400000X
Other 122400000X Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| MELANIE J BLOCK | LD | 1356406342 |
| RONALD D FARRIS | DDM, LD | 1952584237 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.