Kingsbury, Daniel Joseph
Kingsbury, Daniel Joseph is an individual health care provider with primary practice located at 501 N Graham St Ste 355 , Portland OR 97227-2005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is his primary health care specialty. Kingsbury, Daniel Joseph can be contacted via phone (503) 413-3930.Contact Information
Primary practice address
501 N Graham St Ste 355
Portland OR 97227-2005
Phone: (503) 413-3930
Fax: (503) 413-3948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD22287 | Oregon |
| Allopathic & Osteopathic Physicians / Pediatric Rheumatology | 2080P0216X | MD22287 | Oregon |
Profile Details
| NPI number | 1396705414 |
|---|---|
| LBN Legal business name | Kingsbury, Daniel Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jan 28th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396705414 | NPPES |
| Oregon | MEDICAID | 288457 |
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