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Individual

DR. BRENDAN JOHN DALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2121 NE 139TH ST, STE, 360, VANCOUVER, WA 98686-2316
(360) 213-0085
(360) 213-0049
Mailing address
847 NE 19TH AVE STE 300, PORTLAND, OR 97232-2686
(503) 963-2801
(503) 963-2825

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008033281
MO
207RC0000X
Cardiovascular Disease Physician
A114856
CA
207RC0000X
Cardiovascular Disease Physician
MD167157
OR
207RC0000X
Cardiovascular Disease Physician
Primary
MD60472825
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2038609
WA
05
500671861
OR
Enumeration date
07/10/2007
Last updated
07/21/2022
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