Hirsch, Dale Douglas

Hirsch, Dale Douglas is an individual health care provider with primary practice located at 4400 Ne Halsey St Ste 102 , Portland OR 97213-1545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hirsch, Dale Douglas can be contacted via phone (503) 962-1000.

Contact Information

Primary practice address
4400 Ne Halsey St Ste 102 Portland OR 97213-1545
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD16673 Oregon

Profile Details

NPI number 1114919610
LBN Legal business name Hirsch, Dale Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jun 20th, 2023 - about last year

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 1114919610 NPPES
Oregon MEDICAID 021852

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