Dawley, Douglas Lee

Dawley, Douglas Lee is an individual health care provider with primary practice located at 10000 Se Main St Suite 60, Portland OR 97216-2448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dawley, Douglas Lee can be contacted via phone (503) 257-0959.

Contact Information

Primary practice address
10000 Se Main St Suite 60 Portland OR 97216-2448
Phone: (503) 257-0959
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD14940 Oregon

Profile Details

NPI number 1205838091
LBN Legal business name Dawley, Douglas Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205838091 NPPES
Oregon MEDICAID 101071
Oregon MEDICAID 1015486

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