Individual
NANETTE ELAINE DUDLEY DAHLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
445 E MAIN ST, HILLSBORO, OR 97123-4084
(503) 640-2757
(503) 640-9753
Mailing address
445 E MAIN ST, HILLSBORO, OR 97123-4084
(503) 640-2757
(503) 640-9753
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD14724
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023873004
BLUE CROSS/BLUE SHIELD
OR
05
—
055830
—
OR
01
—
2758602
CIGNA
OR
01
—
R163731
PTAN
—
Enumeration date
09/29/2005
Last updated
04/11/2013
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