Individual
DAKOTA BEAU PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1600 NE BROADWAY ST, PORTLAND, OR 97232-1426
(503) 525-7599
Mailing address
8816 SW ASH MEADOWS RD UNIT 1227, WILSONVILLE, OR 97070-6213
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA212388
OR
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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