Individual
DANIEL RYAN HINDERLITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1600 NE BROADWAY ST, PORTLAND, OR 97232-1426
(503) 525-7599
Mailing address
PO BOX 4399, PORTLAND, OR 97208-4399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5017276
NC
363LF0000X
Family Nurse Practitioner
Primary
10050481
OR
363LF0000X
Family Nurse Practitioner
5017276
NC
Other
Enumeration date
11/19/2019
Last updated
04/30/2026
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