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Individual

DANIEL OWEN HERZIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4373
(503) 418-4189
Mailing address
1510 SW ALDER ST APT 2001, PORTLAND, OR 97205-1536
(971) 322-9386

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD25675
OR
208C00000X
Colon & Rectal Surgery Physician
Primary
MD25675
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
213443
OR
Enumeration date
07/31/2006
Last updated
12/06/2023
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