Kingsbury, Daniel Joseph

Kingsbury, Daniel Joseph is an individual health care provider with primary practice located at 501 N Graham St Ste 355 , Portland OR 97227-2005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is his primary health care specialty. Kingsbury, Daniel Joseph can be contacted via phone (503) 413-3930.

Contact Information

Primary practice address
501 N Graham St Ste 355 Portland OR 97227-2005
Fax: (503) 413-3948
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD22287 Oregon
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X MD22287 Oregon

Profile Details

NPI number 1396705414
LBN Legal business name Kingsbury, Daniel Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jan 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396705414 NPPES
Oregon MEDICAID 288457

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