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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.

Location: 9900 Se Sunnyside Rd, Clackamas, OR, 97015-9777
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Clackamas
State
Oregon
Zip
97015-9777
Phone Number
503-571-8240
Fax Number
person
Provider Business Mailing Address Details
Address
9900 Se Sunnyside Rd
City
Clackamas
State
Oregon
Zip
97015-9777
Phone Number
503-571-8240
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
OR PA00125 (Oregon)
Definition
Definition to come...
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