MEDICARE: DR. DANIEL CAVANAGH TWOMBLY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD15684	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	131654	OTHER		MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336152883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL CAVANAGH TWOMBLY M.D.

Provider Business Mailing Address
First Line	:	2501 NW 229TH AVE
Second Line	:	RA3-113 INTEL
City	:	HILLSBORO
State	:	OR
Zip	:	97124-5506
Country	:	US
Telephone Number	:	971-214-8422
Fax Number	:	971-214-8607

Provider Business Practice Location Address
First Line	:	2501 NW 229TH AVE
Second Line	:	RA3-113 INTEL
City	:	HILLSBORO
State	:	OR
Zip	:	97124-5506
Country	:	US
Telephone Number	:	971-214-8422
Fax Number	:	971-214-8607

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	12/04/2011

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Directions to “ DR. DANIEL CAVANAGH TWOMBLY M.D.” Practice Location

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