Organization
WOMENS HEALTHCARE PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENIS JON DALISKY MD (OWNER)
(503) 873-8853
Entity
Organization
Contact information
Practice address
406 WELCH ST, SILVERTON, OR 97381
(503) 873-8853
(503) 873-8355
Mailing address
PO BOX 337, SILVERTON, OR 97381
(503) 873-8853
(503) 873-8355
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170108
—
OR
Enumeration date
07/24/2006
Last updated
11/15/2012
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