# DOMINICAN HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750372579
- **Authorized official:** MARK DALLEY (CEO)
- **Authorized official phone:** (541) 881-7020

## Contact information

- **Practice address:** 1118 NW 16TH ST, FRUITLAND, ID 83619-2271
- **Practice address phone:** (208) 452-6851
- **Practice address fax:** (541) 881-7156
- **Mailing address:** 351 SW 9TH ST, ONTARIO, OR 97914-2639
- **Mailing address phone:** (541) 881-7020
- **Mailing address fax:** (541) 881-7186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 00189759321500 | OR | Yes |

## Other

- **Enumeration date:** 11/01/2005
- **Last updated:** 06/25/2008