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Individual

DR. DANIEL W HAUPT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PSYCHIATRY UHN 80, PORTLAND, OR 97239-3011
(503) 494-8144
(503) 494-6152
Mailing address
3181 SW SAM JACKSON PARK RD, PSYCHIATRY UHN 80, PORTLAND, OR 97239-3011
(503) 494-8144
(503) 494-6152

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
113283
MO
2084P0800X
Psychiatry Physician
Primary
MD157566
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204698914
MO
Enumeration date
07/17/2006
Last updated
10/11/2012
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