Individual
DR. DAVID N WESTERDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12672 NW BARNES RD STE 100, PORTLAND, OR 97229-6191
(503) 747-6376
(503) 530-8406
Mailing address
12672 NW BARNES RD STE 100, PORTLAND, OR 97229-6191
(503) 747-6376
(503) 530-8406
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD186427
OR
207QS0010X
Sports Medicine (Family Medicine) Physician
ME0084094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270794200
—
FL
Enumeration date
04/12/2006
Last updated
10/24/2020
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