Individual
DANIELLE CATAXINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1500 DIVISION ST, OREGON CITY, OR 97045-1527
(503) 650-6270
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO157433
OR
208M00000X
Hospitalist Physician
Primary
DO157433
OR
390200000X
Student in an Organized Health Care Education/Training Program
125057096
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648356
—
OR
01
—
P01115315
RR MEDICARE - PHS
OR
Enumeration date
07/10/2009
Last updated
02/04/2022
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