Individual
DANIEL N PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Mailing address
PO BOX 92900, PORTLAND, OR 97292-0900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO28584
OR
207R00000X
Internal Medicine Physician
LL17065
OR
208M00000X
Hospitalist Physician
Primary
DO28584
OR
Other
Enumeration date
08/06/2007
Last updated
12/07/2017
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