Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD199352 | OR |
Y | 111NI0900X | Internist | MD199352 | OR |
N | 207RA0401X | Internist - Addiction Medicine | MD199352 | OR |
NPI | 1174064315 |
---|---|
Provider Name | Daniel Hoover |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239-3011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2017 |
Last Update Date | 20/07/2021 |