Individual
DANIEL ALEXANDER ANANYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16463 BOONES FERRY RD STE 300, LAKE OSWEGO, OR 97035-4376
(503) 658-9351
(541) 708-5934
Mailing address
PO BOX 4037, PORTLAND, OR 97208-4037
(541) 708-5934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO166843
OR
Other
Enumeration date
01/09/2013
Last updated
01/22/2025
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