Dale Fossati is a Medical in Clackamas, Oregon. Dale Fossati practices all healthcare services and medical treatments related to Medical. The NPI Number for Dale Fossati is 1023121118. The last update date is 2007-07-14.
Dale Fossati's current location address is 9900 Se Sunnyside Rd, Clackamas, Oregon. You can contact this provider via phone number 5035718240. The mailing address for Dale Fossati is 9900 Se Sunnyside Rd, Clackamas, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Fossati |
|---|---|
| Address | 9900 Se Sunnyside Rd, Clackamas, Oregon |
| Phone Number | 5035718240 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023121118 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2007-07-14 |
Provider Mailing Address Detail
| Address | 9900 Se Sunnyside Rd |
|---|---|
| City | Clackamas |
| State | Oregon (OR) |
| Post Code | 970159777 |
| Phone Number | 5035718240 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | OR PA00125 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code issued to Dale Fossati by the Centers for Medicare & Medicaid Services?
The Dale Fossati has been assigned the NPI (National Provider Identifier) 1023121118 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Dale Fossati's physical address?
The Dale Fossati is physically located at 9900 Se Sunnyside Rd, in the city of Clackamas, OR, with the postal code 970159777.
What is Dale Fossati's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dale Fossati is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date was the 1023121118 assigned to Dale Fossati?
The Dale Fossati was issued its 1023121118 on 2006-08-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Dale Fossati most recently updated or revised?
The information pertaining to Dale Fossati, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-14.
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