Individual
DANIEL ALAN LADIZINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9900 SE SUNNYSIDE RD, KASIER PERMANENTE SUNNYBROOK MEDICAL OFFICE, CLACKAMAS, OR 97015-9777
(503) 571-3162
(503) 571-3069
Mailing address
9900 SE SUNNYSIDE RD, KAISER PERMANENTE SUNNYBROOK MEDICAL OFFICE, CLACKAMAS, OR 97015-9777
(503) 571-3162
(503) 571-3069
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD21595
OR
Other
Enumeration date
02/15/2007
Last updated
07/11/2008
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