Individual
DR. DANIEL J. URBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 NW LOVEJOY ST, #402, PORTLAND, OR 97210-2859
(503) 274-9678
(503) 274-4281
Mailing address
PO BOX 23200, PORTLAND, OR 97281-3200
(503) 274-9678
(503) 274-4281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16782
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16782
MEDICAL LICENSE NUMBER
OR
Enumeration date
12/08/2005
Last updated
10/25/2007
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