NPI 1013978378

Dale Michael Willis, MD

Practitioner Pediatric Endocrinology Physician Portland, OR

Practice location

Address: 9155 SW Barnes Rd Suite 931, Portland, OR 97225-6636
Phone: (503) 216-6050
Mailing address: PO Box 3158, Portland, OR 97208-3158

Registered specialties

Pediatric Endocrinology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0205X Licence MD22738 (OR)

Other Pediatrics providers in Oregon →

Registry record

NPI: 1013978378
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Mar 2006
Record last updated: 4 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.