Search › Oregon › 363A00000X
Craig Dale
NPI 1023496965 · on the registry since 2015 · sole proprietor
Practice
- Address
- 441 N Tenmile Lk
Lakeside, OR 97449 - Phone
- (719) 239-1403
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X - Licence states on file
- OR, WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon