Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 000000000 | OR |
NPI | 1275037020 |
---|---|
Provider Name | Dr. Daniel Eric Marsh JR. |
First Address | Oregon City, OR 97045-7863 |
Second Address | Oregon City, OR 97045-7863 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2018 |
Last Update Date | 19/03/2018 |