Individual
DR. DAYLE QUENNEL HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS, PHD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE SJH-2, PORTLAND, OR 97239-3011
(503) 494-7246
(503) 494-8368
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD206108
OR
207L00000X
Anesthesiology Physician
PG193736
OR
Other
Enumeration date
04/17/2019
Last updated
10/22/2024
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