Provider Demographics
NPI:1952478083
Name:DION, DENISE MARIE (MD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:DION
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:414 WASHINGTON ST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-2262
Mailing Address - Country:US
Mailing Address - Phone:541-980-5372
Mailing Address - Fax:541-296-4500
Practice Address - Street 1:414 WASHINGTON ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058-2262
Practice Address - Country:US
Practice Address - Phone:541-980-5372
Practice Address - Fax:541-296-4500
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR173692084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR100651Medicare PIN
ORF72800Medicare UPIN