Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD26846 | OR |
Y | 111NI0900X | Internist | MD26846 | OR |
NPI | 1003038332 |
---|---|
Provider Name | Dr. Daniel Forrest Lotspeich |
First Address | Clackamas, OR 97015-8970 |
Second Address | Clackamas, OR 97015-8970 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 04/02/2022 |