Dr Dale Michael Willis, MD - Pediatrics in Portland, OR

Dr Dale Michael Willis, MD is a Pediatrics - Pediatric Endocrinology physician based in Portland, Oregon. Dr Dale Michael Willis is licensed to practice in Oregon (license number MD22738) and his current practice location is 9155 Sw Barnes Rd, Suite 931, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 216-6050.

NPI number for Dr Dale Michael Willis is 1013978378 and his current mailing address is Po Box 3158, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013978378.

Contact Information

Dr Dale Michael Willis, MD
9155 Sw Barnes Rd, Suite 931,
Portland, OR 97225-6636
(503) 216-6050
Not Available

Map and Direction




Physician's Profile

Full NameDr Dale Michael Willis
GenderMale
SpecialityPediatrics - Pediatric Endocrinology
Location9155 Sw Barnes Rd, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013978378
  • Provider Enumeration Date: 03/28/2006
  • Last Update Date: 03/04/2015

Medical Identifiers

Medical identifiers for Dr Dale Michael Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013978378NPI-NPPES
287841MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0205XPediatrics - Pediatric Endocrinology MD22738 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dale Michael Willis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Dale Michael Willis, MD
Po Box 3158,
Portland, OR 97208-3158

Ph: () -
Dr Dale Michael Willis, MD
9155 Sw Barnes Rd, Suite 931,
Portland, OR 97225-6636

Ph: (503) 216-6050

Reviews and Comments


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