Individual
DANIEL JAMES BOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3009
(503) 221-3424
(503) 221-3490
Mailing address
PO BOX 8500, LOCKBOX 7642, SHRINERS HOSPITAL FOR CHILDREN PORTLAND, PHILADELPHIA, PA 19178-7642
(813) 281-8115
(801) 281-8656
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD183533
OR
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
MD183533
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2011
Last updated
02/15/2021
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