| Physician Last Name: | Van Sickle |
| Physician First Name: | David |
| Physician Middle Name: | Gordon |
| Address: | 9816 SE Arborcrest Way
Portland, Oregon 97225 |
| License Number: | 100301 |
| License Type: | MD |
| Year of Birth: |
1935
|
| Effective Date: | 06/20/2005 |
| Action Description for DOH Webpage: | License surrender |
| Misconduct Description for DOH Webpage: | The physician did not contest the charge of having the Oregon State Board of Medical Examiner accept the retirement of his medical license due to his inability to practice medicine safely. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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