person
Dale Fossati
Medical Physician Assistant in Clackamas, Oregon
NPI 1023121118

Dale Fossati is a Medical Physician Assistant based in Clackamas, OR and is specialized in Medical. Dale Fossati practices in Clackamas, OR. The NPI Number for Dale Fossati is 1023121118 and holds a License No. OR PA00125 (Oregon).

The current practice location address for Dale Fossati is 9900 Se Sunnyside Rd, Clackamas, OR and can be reached out via phone at 503-571-8240. You can also correspond with Dale Fossati through the mailing address at 9900 SE SUNNYSIDE RD, CLACKAMAS, OR - 97015-9777 (mailing address contact number: ).

Location: 9900 Se Sunnyside Rd, Clackamas, OR, 97015-9777
person
Provider Profile Details
NPI Number
1023121118
Provider Name
Dale Fossati
Credential
Provider Entity Type
Individual
Gender
Male
Address
9900 Se Sunnyside Rd, Clackamas, OR, 97015-9777
Phone Number
503-571-8240
Fax Number
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9900 Se Sunnyside Rd
City
State
Zip
97015-9777
Phone Number
503-571-8240
Fax Number
person
Provider Business Mailing Address Details
Address
9900 Se Sunnyside Rd
City
State
Zip
97015-9777
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
OR PA00125 (Oregon)
Definition
Definition to come...
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