DALE HITCHCOCK (NPI# 1770780983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770780983 |
| Entity Type | Individual |
| Full Name | DALE HITCHCOCK |
| Practice Address |
1605 East Lincoln Rd. Woodburn OR 97071-5534 |
| Mailing Address |
325 Brandywine Ct Woodburn OR 97071-5534 |
| Practice Telephone | 5039829300 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
OR | Nursing Service Providers |
| Street Address |
1605 EAST LINCOLN RD. |
| City | WOODBURN |
| State | OR |
| Zip Code | 97071-5534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628839 | Carla Frances Halvorson | Technician | 955 Carol St Apt D, Woodburn, OR 97071 | 2019-09-19 |
| 1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
| 1154713295 | Theresa Donavant-butler | Massage Therapist | 564 Glatt Circle, Woodburn, OR 97071 | 2015-02-26 |
| 1710257878 | Darlene Jost-babin | Counselor | 693 Ray J Glatt Circle, Woodburn, OR 97071 | 2012-01-06 |
| 1932401437 | Marcelino Mauro Vera Ramirez | Chiropractor | 844 Pana Street, Woodburn, OR 97071 | 2010-12-03 |
| 1801110994 | Woodburn Cosmetic & Family Dentistry P.C. | Dentist | 1018 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-18 |
| 1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
| 1134384985 | Roberto Diaz Camarillo | Counselor | 399 Young Street, Woodburn, OR 97071 | 2008-07-22 |
| 1447431705 | Patricia Eddy | Physical Therapist | 1475 Mt Hood Avenue, Woodburn, OR 97071 | 2007-11-15 |
| 1992926471 | Marquis Physical Therapy & Spine Rehab, PC | Physical Therapist | 2241 Country Club Rd, Woodburn, OR 97071 | 2007-05-01 |
| Find all providers in zip 97071 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467922856 | Michael David Jackson | Registered Nurse | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831433887 | Vicki J Mosby | Registered Nurse | 1980 Washington St, Eugene, OR 97405-2664 | 2012-11-15 |
| 1851563456 | Carole L. Bekkenhuis - Johnson | Registered Nurse | 2072 Greiner Street, Eugene, OR 97405 | 2008-03-24 |
| 1043419757 | Randy Peterson | Registered Nurse | 627 N Evans St, Mcminnville, OR 97128-3923 | 2007-07-12 |
| 1861578353 | Jan Scott Garlock | Registered Nurse | 3140 Juanipero Way, Suite 102, Medford, OR 97504-8640 | 2006-10-27 |
| 1790872000 | Bryan M Hagen | Registered Nurse | 2955 N Highway 97 Ste 100, Bend, OR 97703-7559 | 2006-10-06 |
| 1750358610 | Barbara J. Limandri | Registered Nurse | 2255 Nw Northrup St, Linfield College School of Nursing, Portland, OR 97210-2918 | 2006-02-28 |
| 1841263043 | Patricia Diane Jarrett | Registered Nurse | 36 Sw Nye St, Newport, OR 97365-3821 | 2006-02-08 |
| 1750990560 | Nicole Ray Billman | Registered Nurse | 2301 Cove Ave, La Grande, OR 97850-3906 | 2020-07-28 |
| 1659918415 | Leslie Wright | Registered Nurse | 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 | 2019-11-28 |
| 1144881475 | Kimberly Ann Richards | Registered Nurse | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-06-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.