Individual
DR. DANIEL J. COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1127 OAK ST SE, SALEM, OR 97301-4020
(503) 561-5761
(503) 561-4787
Mailing address
1127 OAK ST SE, SALEM, OR 97301-4020
(503) 561-5761
(503) 561-4787
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD26512
OR
Other
Enumeration date
07/31/2006
Last updated
09/26/2007
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