Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dale Fossati

Individual provider Medical Physician Assistant · NPI 1023121118

Dale Fossati is a Medical Physician Assistant in Clackamas, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006

Practice location Address checks out

9900 SE Sunnyside Rd
Clackamas, OR 97015-9777
Phone: (503) 571-8240
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence OR PA00125 (OR)

Record details

NPI number1023121118
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESJuly 14, 2007

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