Dine, David Elliott

Dine, David Elliott is an individual health care provider with primary practice located at 9427 Sw Barnes Rd Suite 595, Portland OR 97225-6652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Dine, David Elliott can be contacted via phone (503) 297-6976.

Contact Information

Primary practice address
9427 Sw Barnes Rd Suite 595 Portland OR 97225-6652
Phone: (503) 297-6976
Fax: (503) 297-7004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD09757 Oregon

Profile Details

NPI number 1104872233
LBN Legal business name Dine, David Elliott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1104872233 NPPES
Oregon MEDICAID 262410

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