MEDICARE: DENISE MARIE DION MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	17369	OR

General Provider Information

NPI Number	:	1952478083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE MARIE DION MD

Provider Business Mailing Address
First Line	:	414 WASHINGTON ST
Second Line	:	SUITE 1B
City	:	THE DALLES
State	:	OR
Zip	:	97058-2262
Country	:	US
Telephone Number	:	541-980-5372
Fax Number	:	541-296-4500

Provider Business Practice Location Address
First Line	:	414 WASHINGTON ST
Second Line	:	SUITE 1B
City	:	THE DALLES
State	:	OR
Zip	:	97058-2262
Country	:	US
Telephone Number	:	541-980-5372
Fax Number	:	541-296-4500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	12/22/2011

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