Individual
NATALIE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(360) 213-6627
Mailing address
916 REBA PL, 3N, EVANSTON, IL 60202-2673
(360) 213-6627
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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