D. Duane Dale, MD, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD11451 Issued in OR

Legal business name

D. DUANE DALE, MD, PC

Practice address

2386 NW Hoyt St
Portland, OR 97210-3219

Phone

(503) 228-5909

Fax

(503) 226-4186

NPI assigned

Jan 20, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

D Duane Dale, MD

Title

Physician, Owner

Phone

(503) 228-5909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• D Duane Dale, MD

  • Psychiatry Physician
  • Portland, OR
  • NPI 1013085836
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1326319435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 NW HOYT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103219",
            "telephone_number": "503-228-5909",
            "fax_number": "503-226-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 NW HOYT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103219",
            "telephone_number": "503-228-5909",
            "fax_number": "503-226-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. DUANE DALE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "D DUANE",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "503-228-5909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD11451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Czupryk, PHARM. D.
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• D James Aungst DC PC
• D Wilson Apn Family Medicine and Psychiatric Services PLLC
• D. Anthony Service D.M.D., P.C.
• Jennifer Marie D'Agrosa
• Nathan M D'Aguiar
• Avery D'Alessandro, MSW
• Skyye D'Allyn
• Charles Roland D'Amato, MD

• Psychiatry Physician in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.