Individual
DANIEL PHILIP LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
3408 CHELAN DR, WEST LINN, OR 97068-9291
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G58715
CA
207RC0000X
Cardiovascular Disease Physician
MD00037964
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD22025
OR
Other
Enumeration date
04/20/2007
Last updated
02/01/2022
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