Individual
DANIELLE ADAIR WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2222 NW LOVEJOY ST, SUITE 315, PORTLAND, OR 97210-5101
(503) 226-6321
(503) 227-3422
Mailing address
2222 NW LOVEJOY ST, SUITE 315, PORTLAND, OR 97210-5101
(503) 226-6321
(503) 227-3422
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA157225
OR
363AS0400X
Surgical Physician Assistant
PA18526
CA
363AS0400X
Surgical Physician Assistant
PA60302715
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0PA185260
—
CA
05
—
1396830824
—
WA
Enumeration date
10/03/2006
Last updated
09/10/2015
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