Individual
DR. DANIEL RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1600 SE ANKENY ST, PORTLAND, OR 97214-1448
(503) 894-3068
Mailing address
3803 SE 27TH AVE, PORTLAND, OR 97202-3007
(503) 260-9639
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2050
OR
Other
Enumeration date
06/15/2010
Last updated
07/29/2010
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