Gruenberg, Daniel Richard

Gruenberg, Daniel Richard is an individual health care provider with primary practice located at 9555 Sw Barnes Rd Ste 150, Portland OR 97225-6663. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gruenberg, Daniel Richard can be contacted via phone (503) 297-7403.

Contact Information

Primary practice address
9555 Sw Barnes Rd Ste 150 Portland OR 97225-6663
Phone: (503) 297-7403
Fax: (503) 384-9908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD19219 Oregon

Profile Details

NPI number 1467455238
LBN Legal business name Gruenberg, Daniel Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Dec 22nd, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467455238 NPPES
Oregon MEDICAID 072343
Oregon MEDICAID 1011063

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