Individual
ANTONIO ANDREW DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 418-6001
Mailing address
7135 SE 34TH AVE, PORTLAND, OR 97202-8303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OR MD13777
OR
207Q00000X
Family Medicine Physician
Primary
WA MD00020913
WA
Other
Enumeration date
08/30/2006
Last updated
02/04/2022
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