NPI 1770780983 · live from the CMS NPI Registry
Dale Hitchcock
Registered Nurse, Psych/Mental Health, Adult in Woodburn, OR. National Provider Identifier 1770780983, active.
NPI record
| NPI | 1770780983 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 1605 East Lincoln Rd., Woodburn, OR 97071 |
| Practice phone | 503-982-9300 |
| Mailing address | 325 Brandywine Ct, Woodburn, OR 97071 |
| Enumerated | June 29, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | 087003109RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.