Individual
DENIS JON DALISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
M015330
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178186
—
OR
01
—
M041001
PACIFIC SOURCE
OR
Enumeration date
07/10/2006
Last updated
07/08/2007
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