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
Phone: (503) 962-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114919610 | NPPES |
| Oregon | MEDICAID | 021852 |
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