Individual
DANIEL WOODS DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3509 NW SAMARITAN DRIVE, CORVALLIS, OR 97330
(510) 768-5235
Mailing address
11210 SW FAIRFIELD STREET, BEAVERTON, OR 97005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD28445
OR
2084P0800X
Psychiatry Physician
Primary
MD28445
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500614008
—
OR
05
—
500626984
—
OR
Enumeration date
08/15/2008
Last updated
08/21/2013
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