Individual
DR. DANIEL L SUDAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
9370 SW GREENBURG RD, SUITE 201, PORTLAND, OR 97223
(503) 894-9258
(888) 307-3066
Mailing address
9370 SW GREENBURG RD, SUITE 201, PORTLAND, OR 97223
(503) 894-9258
(888) 307-3066
Taxonomy
Speciality
Code
Description
License number
State
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
Primary
MD19994
OR
Other
Enumeration date
07/30/2006
Last updated
10/20/2017
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