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General NPI Number Information
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NPI Number | 1639379811
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Entity Type | Individual
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Provider Name | IVONNE M DALY MD
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Gender | Female
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 815 NE DAVIS ST FL 3
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City | PORTLAND
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State | OR
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Zip | 97232-2964
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Country | US
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Telephone | 503-413-3303
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Fax | 503-413-1860
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Provider Business Mailing Address
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Address Line | 815 NE DAVIS ST FL 3
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City | PORTLAND
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State | OR
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Zip | 97232-2964
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Country | US
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Telephone | 503-413-3303
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Fax | 503-413-1860
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | MD417696
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | U1658
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | MD 167611
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License Number State | OR
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