Individual
DR. PAUL D DALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 NE 87TH AVE, SUITE 301, VANCOUVER, WA 98664-1989
(360) 213-9955
Mailing address
PO BOX 23200, PORTLAND, OR 97281-3200
(360) 213-9955
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00024635
WA
208600000X
Surgery Physician
OR42136
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029172
—
WA
05
—
277847
—
OR
Enumeration date
06/11/2006
Last updated
12/07/2007
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