Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD16693 | OR |
NPI | 1114906815 |
---|---|
Provider Name | Dr. Daniel Swink Sager |
First Address | Portland, OR 97208-3390 |
Second Address | Hood River, OR 97031-1513 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2006 |
Last Update Date | 05/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
023148 | (05) | OR |
8125643 | (05) | WA |