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Contact Information

D D DALE, MD
2386 NW HOYT ST
PORTLAND, OR97210
 Phone: 503-228-5909
 Fax: 503-226-4186
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for D D DALE · (Male)

NPI Number 1013085836
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 11451
  • OR Medicaid 058479
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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