Individual
DR. DAVID J CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-1111
(541) 296-7420
Mailing address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-1111
(541) 296-7420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26084
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026812
—
OR
Enumeration date
02/24/2006
Last updated
09/10/2013
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