Organization
DANIEL BRISTOW MD LLC
Active
Other names
TelePsycMD.com
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BRISTOW MD (PHYSICIAN)
(503) 966-5417
Entity
Organization
Contact information
Practice address
10260 SW GREENBURG RD STE 400, PORTLAND, OR 97223-5514
(503) 966-5417
(503) 662-1154
Mailing address
10260 SW GREENBURG RD STE 400, PORTLAND, OR 97223-5514
(503) 966-5417
(503) 662-1154
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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