Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DALLAS FAMILY MEDICINE LLC
Deactivated OrganizationDALLAS FAMILY MEDICINE LLC is a Specialist organization located in DALLAS, Oregon. NPI 1942292891 is deactivated in the NPPES registry. Verify at CMS.
Specialist · DALLAS, OR
This NPI has been deactivated.
The record was deactivated on August 30, 2005.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1942292891
- Provider Type
- Organization
- NPI Issued
- Aug 17, 2005 (0.035616438356164 yrs)
- Last Updated
- Oct 22, 2012
- Deactivated
- Aug 30, 2005
- License
-
MD13699 (OR)
Practice Information
- Address
-
641 SE MILLER AVEDALLAS, OR, 973382634Browse OR providers · Browse ZIP 97338
- Phone
- 5036232345
- Fax
- 5036236071
- Primary Specialty
-
Specialist
174400000X
Other Specialist Organizations in DALLAS, OR
| Name | NPI |
|---|---|
| WILLAMETTE UROLOGY PC | 1215221205 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.