DALE FOSSATI

CLACKAMAS, OR
NPI1023121118
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  OR PA00125)
Enumeration Date2006-08-16
Last Update Date2007-07-14
Business Address
-- DALE FOSSATI
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9777
Phone number: 503-571-8240
Mailing Address
-- DALE FOSSATI
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9777
Phone number:
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