Individual
DR. DANIEL JOSEPH KINGSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 N GRAHAM ST STE 355, PORTLAND, OR 97227-2005
(503) 413-3930
(503) 413-3948
Mailing address
501 N GRAHAM ST STE 355, PORTLAND, OR 97227-2005
(503) 413-3930
(503) 413-3948
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD22287
OR
2080P0216X
Pediatric Rheumatology Physician
Primary
MD22287
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288457
—
OR
Enumeration date
03/23/2006
Last updated
01/28/2021
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