Craig Dale
Craig Dale is a Physician Assistant in Lakeside, Oregon. Practices as a sole proprietor. Licensed in Idaho, Oregon and Washington.
- Licensed in
- ID, OR, WA
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
441 N Tenmile LkLakeside, OR 97449-8648
Phone: (719) 239-1403
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA1619 (ID) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA179589 (OR) |
| Physician Assistant | Taxonomy 363A00000X · Licence PA60843540 (WA) |
Record details
| NPI number | 1023496965 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 12, 2015 |
| Last updated in NPPES | February 17, 2022 |
| Certification date | February 17, 2022 |
| Mailing address | 441 N Tenmile Lk, Lakeside, OR 97449-8648 |