Dr Dale Michael Willis, MD in Portland, OR - Pediatrics

Dr Dale Michael Willis, MD is a Pediatrics - Pediatric Endocrinology physician based in Portland, Oregon. Dr Dale Michael Willis is licensed to practice in Oregon (license number MD22738) and his current practice location is 9155 Sw Barnes Rd, Suite 931, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 216-6050.

NPI number for Dr Dale Michael Willis is 1013978378 and his current mailing address is Po Box 3158, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013978378.

Contact Information

	Dr Dale Michael Willis, MD
	9155 Sw Barnes Rd, Suite 931, Portland, OR 97225-6636
	(503) 216-6050
	Not Available

Physician's Profile

Full Name	Dr Dale Michael Willis
Gender	Male
Speciality	Pediatrics - Pediatric Endocrinology
Location	9155 Sw Barnes Rd, Portland, Oregon
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1013978378
Provider Enumeration Date: 03/28/2006
Last Update Date: 03/04/2015

Medical Identifiers

Medical identifiers for Dr Dale Michael Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013978378	NPI	-	NPPES
287841	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0205X	Pediatrics - Pediatric Endocrinology	MD22738 (Oregon)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dale Michael Willis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Dale Michael Willis, MD Po Box 3158, Portland, OR 97208-3158 Ph: () -	Dr Dale Michael Willis, MD 9155 Sw Barnes Rd, Suite 931, Portland, OR 97225-6636 Ph: (503) 216-6050

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Pediatrics Doctors in Portland, OR

Dr. Sharon Sarah Green Gorini, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Southwest Sam Jackson Park Road, Oregon Health And Science University Mail-dc9r, Portland, OR 97239 Phone: 503-418-5170
Megan Furnari, M.D., M.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Road, Portland, OR 97239 Phone: 503-494-8211
Bruce Alan Boston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-1926
Dr. Karin Ann Selva, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 N Graham St, Suite 375, Portland, OR 97227 Phone: 503-413-1600
Dr. Peter H Chang, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 250, Portland, OR 97227 Phone: 503-280-3418 Fax: 503-284-7885
George W Bengtson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4212 Ne Broadway St, Portland, OR 97213 Phone: 503-249-8787
Dr. Amanda K Blockinger Bailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6234 N Greeley Ave, Sellwood Medical Clinic, Portland, OR 97217 Phone: 503-595-9300

Dr Dale Michael Willis, MD - Pediatrics in Portland, OR