DALE ALAN CRUISE (NPI# 1629308994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629308994 |
| Entity Type | Individual |
| Full Name | DALE ALAN CRUISE |
| Credential | M.D. |
| Practice Address |
3622 El Dorado Loop S Salem OR 97302-9737 |
| Practice Telephone | 5033633317 |
| Mailing Telephone | 5033633317 |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | MD07666 | OR | Allopathic & Osteopathic Physicians |
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
7666 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
3622 EL DORADO LOOP S |
| City | SALEM |
| State | OR |
| Zip Code | 97302-9737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710460993 | Comprehensive Womens Health Partners LLC | Obstetrics & Gynecology | 2364 Southeast Blvd, Salem, OH 44460-3418 | 2018-09-13 |
| 1952528101 | Amante N. Decastro, M.d., P.a. | Obstetrics & Gynecology | 4 By Pass Rd, Suite 202, Salem, NJ 08079-2053 | 2007-04-19 |
| 1336235019 | John Richard Hannig | Obstetrics & Gynecology | 875 Oak St Se, Salem, OR 97301-3975 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780863761 | Katherine A Holloway | Obstetrics & Gynecology | 4037 Ne 8th Ave, Portland, OR 97212-1208 | 2007-10-26 |
| 1497850192 | Gregory L Gent | Obstetrics & Gynecology | 620 Se Oak St Ste E, Hillsboro, OR 97123-4160 | 2006-09-14 |
| 1922110972 | Audrey Ellen Tarr | Obstetrics & Gynecology | 1040 Nw 22nd Ave, Suite 600, Portland, OR 97210-3041 | 2006-08-31 |
| 1730185141 | John Anthony Murphy | Obstetrics & Gynecology | 2450 Ne Mary Rose Pl Ste 220, Bend, OR 97701-7133 | 2005-06-22 |
| 1437601234 | Nicholas Mills Md LLC | Obstetrics & Gynecology | 2941 Doctors Park Dr, Medford, OR 97504-8127 | 2016-10-27 |
| 1871989178 | Casey Peyton Nicol | Obstetrics & Gynecology | 2150 Ne Division St Ste 202, Gresham, OR 97030-5859 | 2015-04-13 |
| 1790120574 | Rachel Guild | Obstetrics & Gynecology | 1700 E 19th St, The Dalles, OR 97058-3317 | 2013-05-07 |
| 1386935609 | Carmen M Doom | Obstetrics & Gynecology | 1130 Nw 22nd Ave, Suite 520, Portland, OR 97210 | 2011-04-20 |
| 1396962007 | Samaritan North Lincoln Hospital | Obstetrics & Gynecology | 3100 Ne 28th St Ste C, Lincoln City, OR 97367-4524 | 2007-04-20 |
| 1093834392 | Katherine L. Hilsinger Md PC | Obstetrics & Gynecology | 2580 Daggett Ave, Klamath Falls, OR 97601-1127 | 2007-03-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.