Individual
DALE HITCHCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 EAST LINCOLN RD., WOODBURN, OR 97071-5534
(503) 982-9300
Mailing address
325 BRANDYWINE CT, WOODBURN, OR 97071-5534
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
OR
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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