| D. Duane Dale, Md, Pc | |
|
2386 Nw Hoyt St Portland OR 97210-3219 | |
| (503) 228-5909 | |
| (503) 226-4186 |
| Full Name | D. Duane Dale, Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2386 Nw Hoyt St, Portland, Oregon |
| Authorized Official Name and Position | D Duane Dale (PHYSICIAN, OWNER) |
| Authorized Official Contact | 5032285909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| D. Duane Dale, Md, Pc 2386 Nw Hoyt St Portland OR 97210-3219 Ph: (503) 228-5909 | D. Duane Dale, Md, Pc 2386 Nw Hoyt St Portland OR 97210-3219 Ph: (503) 228-5909 |
| NPI Number | 1326319435 |
|---|---|
| Provider Enumeration Date | 01/20/2012 |
| Last Update Date | 01/20/2012 |
| Medicare PECOS PAC ID | 3779740899 |
|---|---|
| Medicare Enrollment ID | O20120201000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326319435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD11451 (Oregon) | Primary |
| Provider Name | Donald Duane Dale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013085836 PECOS PAC ID: 5698932713 Enrollment ID: I20120201000546 |
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