Dale Michael Willis in Portland - Pediatric Endocrinology
Dale Michael Willis - NPI 1013978378
Dale Michael Willis is a Pediatric Endocrinology in Portland, Oregon. Dale Michael Willis practices all healthcare services and medical treatments related to Pediatric Endocrinology. The NPI Number for Dale Michael Willis is 1013978378. The last update date is 2015-03-04.
Dale Michael Willis's current location address is 9155 Sw Barnes Rd, Portland, Oregon. You can contact this provider via phone number 5032166050. The mailing address for Dale Michael Willis is 9155 Sw Barnes Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Michael Willis |
|---|---|
| Address | 9155 Sw Barnes Rd, Portland, Oregon |
| Phone Number | 5032166050 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013978378 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2015-03-04 |
Provider Mailing Address Detail
| Address | 9155 Sw Barnes Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972256636 |
| Phone Number | 5032166050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Endocrinology |
|---|---|
| Taxonomy | 2080P0205X |
| Licence No | MD22738 |
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Definition: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 287841 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Dale Michael Willis by the Centers for Medicare & Medicaid Services?
The Dale Michael Willis has been assigned the NPI (National Provider Identifier) 1013978378 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Dale Michael Willis is located?
The Dale Michael Willis is situated at the following address: 9155 Sw Barnes Rd, Portland, OR, 972256636.
What is the Dale Michael Willis's area of specialization and corresponding taxonomy classification?
The Dale Michael Willis's specialty field is Pediatric Endocrinology, and it falls under the taxonomy code 2080P0205X, which categorizes healthcare providers based on their specialties.
On what date did Dale Michael Willis receive its 1013978378 assignment from the Centers for Medicare & Medicaid Services?
The Dale Michael Willis was assigned its 1013978378 on 2006-03-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Dale Michael Willis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dale Michael Willis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-03-04.