Individual
DIANA ABY-DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3273
(503) 494-6990
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3273
(503) 494-6990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA150326
OR
363AM0700X
Medical Physician Assistant
Primary
PA150326
OR
363AM0700X
Medical Physician Assistant
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—
Other
Enumeration date
10/20/2009
Last updated
12/23/2020
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