Individual
DANIEL JOSEPH CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
3181 SW SAM JACKSON PARK RD # CDRC-P, PORTLAND, OR 97239-3011
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD182485
OR
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
MD182485
OR
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD182485
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2013
Last updated
03/25/2021
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