Individual
DANIEL ERIC BOTTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11790 SW BARNES RD STE 280, PORTLAND, OR 97225-5935
(503) 626-9700
Mailing address
11790 SW BARNES RD STE 280, PORTLAND, OR 97225-5935
(503) 626-9700
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D12199
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
02/03/2026
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