Healthcare Provider Details

I. General information

NPI: 1255872503
Provider Name (Legal Business Name): DANIEL SLOWEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2017
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5541 SE BELMONT ST
PORTLAND OR
97215-1839
US

IV. Provider business mailing address

5441 SE BELMONT ST
PORTLAND OR
97215-1837
US

V. Phone/Fax

Practice location:
  • Phone: 503-487-8940
  • Fax: 503-386-3365
Mailing address:
  • Phone: 503-487-8940
  • Fax: 503-386-3365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD193930
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: