Healthcare Provider Details

I. General information

NPI: 1831233139
Provider Name (Legal Business Name): PATRICK ALTON DAWSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1122 W ELM AVE
HERMISTON OR
97838-6933
US

IV. Provider business mailing address

1122 W ELM AVE
HERMISTON OR
97838-6933
US

V. Phone/Fax

Practice location:
  • Phone: 541-289-7075
  • Fax: 541-314-4873
Mailing address:
  • Phone: 541-289-7075
  • Fax: 541-314-4873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberMD166627
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD166627
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: