Individual
DANA ANDREW PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3615 NW SAMARITAN DR STE 201, CORVALLIS, OR 97330-3771
(541) 768-5930
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD28429
OR
Other
Enumeration date
07/08/2008
Last updated
11/06/2020
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