Individual
COLTON JOSEPH DANFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
620 RANCH RD, REEDSPORT, OR 97467-1796
(541) 271-2163
(541) 271-4058
Mailing address
1813 W HARVARD AVE STE 310, ROSEBURG, OR 97471-2756
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA218705
OR
Other
Enumeration date
04/05/2024
Last updated
10/30/2024
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