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Dr. Daniel James Sisco, ND
Clinic/Center in Portland, Oregon
NPI 1902950645

Daniel James Sisco is a Clinic/Center based in Portland, OR. Daniel James Sisco practices in Portland, OR and has the professional credentials of ND. The NPI Number for Daniel James Sisco is 1902950645 and holds a License No. 000536 (Oregon).

The current practice location address for Daniel James Sisco is 3351 Ne Broadway St, Portland, OR and can be reached out via phone at 503-282-9222 and via fax at 503-282-8116.

Location: 3351 Ne Broadway St, Portland, OR, 97232-1816
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Provider Profile Details
NPI Number
1902950645
Provider Name
Daniel James Sisco
Credential
ND
Provider Entity Type
Individual
Gender
Male
Address
3351 Ne Broadway St, Portland, OR, 97232-1816
Phone Number
503-282-9222
Fax Number
503-282-8116
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
27805-1 05 OR
institution
Provider Business Practice Location Address Details
Address
3351 Ne Broadway St
City
State
Zip
97232-1816
Phone Number
503-282-9222
Fax Number
503-282-8116
person
Provider Business Mailing Address Details
Address
3351 Ne Broadway St
City
State
Zip
97232-1816
Phone Number
503-282-9222
Fax Number
503-282-8116
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
000536 (Oregon)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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