Individual
DR. RICHARD DALE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, UHS-2, PORTLAND, OR 97239-3011
(503) 494-4910
(503) 494-8368
Mailing address
9100 NE 30TH AVE, VANCOUVER, WA 98665-9506
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD16825
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011176
—
OR
05
—
8122657
—
WA
Enumeration date
06/28/2006
Last updated
05/01/2008
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