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NPI Code Detail

MEDICARE: DANIELLE ADAIR WARD PA-C

MEDICARE: DANIELLE ADAIR WARD PA-C
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
1363AS0400XSurgical Physician AssistantPA18526CA
2363AS0400XSurgical Physician AssistantPA157225OR
3363AS0400XSurgical Physician AssistantPA60302715WA

Other Identifiers

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

General Provider Information

NPI Number : 1396830824
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE ADAIR WARD PA-C
Provider Business Mailing Address
First Line : 2222 NW LOVEJOY ST
Second Line : SUITE 315
City : PORTLAND
State : OR
Zip : 97210-5101
Country : US
Telephone Number : 503-226-6321
Fax Number : 503-227-3422
Provider Business Practice Location Address
First Line : 2222 NW LOVEJOY ST
Second Line : SUITE 315
City : PORTLAND
State : OR
Zip : 97210-5101
Country : US
Telephone Number : 503-226-6321
Fax Number : 503-227-3422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 09/10/2015

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Directions to “ DANIELLE ADAIR WARD PA-C” Practice Location

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