IndividualActive
Dale Willis, M.D.
NPI 1013978378 · Pediatric Endocrinology Physician · Portland, OR
Provider details
- NPI number
- 1013978378
- Entity type
- Individual
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD22738 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9155 Sw Barnes Rd
Suite 931
Portland, OR 97225-6636
Phone: (503) 216-6050
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3158
Portland, OR 97208-3158
Registry dates
- Enumerated
- 2006-03-28
- Last updated
- 2015-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.