Individual
DAN RAY NAFZIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.T.P.C
Contact information
Practice address
5415 SW WESTGATE DR, SUITE LL3, PORTLAND, OR 97221-2409
(503) 297-3003
(503) 297-9414
Mailing address
5415 SW WESTGATE DR, SUITE LL3, PORTLAND, OR 97221-2409
(503) 297-3003
(503) 297-9414
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1035
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000898
—
OR
01
—
R0000CFBVJ
MEDICARE ID
OR
Enumeration date
11/13/2007
Last updated
03/10/2011
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