Dally, Paul D
Dally, Paul D is an individual health care provider with primary practice located at 505 Ne 87Th Ave Suite 301, Vancouver WA 98664-1989. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dally, Paul D can be contacted via phone (360) 213-9955.Contact Information
Primary practice address
505 Ne 87Th Ave Suite 301
Vancouver WA 98664-1989
Phone: (360) 213-9955
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00024635 | Washington |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | OR42136 | Oregon |
Profile Details
| NPI number | 1548202088 |
|---|---|
| LBN Legal business name | Dally, Paul D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Dec 7th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548202088 | NPPES |
| Oregon | MEDICAID | 277847 | |
| Oregon | MEDICAID | 1029172 |
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