Dale Fossati

NPI #1023121118 in Clackamas, Oregon

Provider Information

NPI Number
1023121118
Entity Type
Individual
Name
Dale Fossati
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Aug 16, 2006
Last Updated
Jul 14, 2007

Practice Location

Address
9900 SE SUNNYSIDE RD
State
Oregon
ZIP Code
97015-9777
Phone
(503) 571-8240

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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