Individual
DR. DANIEL JAMES HENERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1040 NW 22ND AVE STE 660, PORTLAND, OR 97210-3083
(503) 413-7162
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PG188288
OR
207RC0000X
Cardiovascular Disease Physician
Primary
PG188288
OR
Other
Enumeration date
04/10/2018
Last updated
06/13/2024
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