Individual
JUDITH R DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., C
Contact information
Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 233-4356
Mailing address
2298 SE DARLING AVE, GRESHAM, OR 97080-5387
(503) 661-1866
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
OR
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
OR
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
—
OR
Other
Enumeration date
02/15/2007
Last updated
09/11/2025
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