Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 327177 | IL |
N | 111NI0900X | Internist | 327177 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | 327177 | IL |
Y | 207RI0011X | Interventional Cardiology | MD193000 | OR |
NPI | 1033351093 |
---|---|
Provider Name | Dr. Daniel Abraham Feldman |
First Address | Portland, OR 97216-2474 |
Second Address | Portland, OR 97216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2009 |
Last Update Date | 12/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033351093 | (05) | IL |