Davila Bradley, Daniel

Davila Bradley, Daniel is an individual health care provider with primary practice located at 4805 Ne Glisan St Ste 6N60 , Portland OR 97213-2933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davila Bradley, Daniel can be contacted via phone (503) 281-0561.

Contact Information

Primary practice address
4805 Ne Glisan St Ste 6N60 Portland OR 97213-2933
Phone: (503) 281-0561
Fax: (503) 416-7377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60773408 Washington
Allopathic & Osteopathic Physicians / Surgery 208600000X MD182725 Oregon

Profile Details

NPI number 1245587823
LBN Legal business name Davila Bradley, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2012
Last updated Dec 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245587823 NPPES
Oregon MEDICAID 500672692
Oregon MEDICAID 2027927

Popular Providers