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Individual

IAN DANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1306 DIVISION ST, OREGON CITY, OR 97045-1523
(503) 656-4221
(503) 656-4249
Mailing address
PO BOX 22009, PORTLAND, OR 97269-2009
(503) 558-7372
(503) 344-5140

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD211303
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500746819
OR
Enumeration date
04/03/2017
Last updated
08/29/2022
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