Individual
DANIEL FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 NW 23RD AVE, PORTLAND, OR 97210-2906
(503) 413-7074
(503) 413-6892
Mailing address
705 CITRA AVE, MOXEE, WA 98936-8815
(509) 584-8155
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
390200000X
OR
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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