Individual
DOUGLAS LEE DAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10000 SE MAIN ST, SUITE 60, PORTLAND, OR 97216-2448
(503) 257-0959
Mailing address
10000 SE MAIN ST STE 60, PORTLAND, OR 97216-2474
(503) 257-0959
(503) 257-3457
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD14940
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101071
—
OR
05
—
1015486
—
WA
Enumeration date
08/11/2005
Last updated
07/21/2022
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