Individual
DR. DANIEL WADE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13309 SE 84TH AVE STE 100, CLACKAMAS, OR 97015-6922
(971) 673-8200
Mailing address
2210 SUNTREK DR, EUGENE, OR 97403-3251
(541) 915-1090
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
MD28151
OR
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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