Individual
DR. DAVID ELLIOTT DINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9427 SW BARNES RD, SUITE 595, PORTLAND, OR 97225-6652
(503) 297-6976
(503) 297-7004
Mailing address
9427 SW BARNES RD, SUITE 595, PORTLAND, OR 97225-6652
(503) 297-6976
(503) 297-7004
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD09757
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262410
—
OR
Enumeration date
05/26/2006
Last updated
07/08/2007
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