Dr. Dale Michael Willis
M.D. | Pediatric Endocrinology | Male
Dr. Dale Michael Willis, M.D. is a Portland, Oregon based Pediatric doctor with medical specialization in
Pediatric Endocrinology.
Current practice location of Dr. Dale Michael Willis is
9155 Sw Barnes Rd, Suite 931, Portland, Oregon - 97225-6636. He can be contacted on phone at
503-216-6050.
Dr. Dale Michael Willis is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Dale Michael Willis is
1013978378 which was assigned by NPPES on 28 Mar, 2006 and it was last updated on 04 Mar, 2015.
Dr. Dale Michael Willis license number is
MD22738 for Pediatrics Pediatric Endocrinology (2080P0205X) in Oregon.
Dr. Dale Michael Willis 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 size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Complete Profile:
Dr. Dale Michael Willis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Endocrinology |
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| Provider Name : | Dr. Dale Michael Willis |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Dale Michael Willis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9155 Sw Barnes Rd, Suite 931
Portland, OR, 97225-6636
United States |
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| Phone Number : | 503-216-6050 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1013978378 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Mar, 2006 |
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| Last Updated On : | 04 Mar, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Dale Michael Willis are as mentioned. Primary taxonomy code for Dr. Dale Michael Willis, M.D. is
2080P0205X (Pediatrics Pediatric Endocrinology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0205X | Pediatrics Pediatric Endocrinology | Yes | MD22738 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Dale Michael Willis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 287841 | MEDICAID | OR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 3158
Portland, OR, 97208-3158
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Dale Michael Willis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.