Westerdahl, David N

Westerdahl, David N is an individual health care provider with primary practice located at 12672 Nw Barnes Rd Ste 100 , Portland OR 97229-6191. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Westerdahl, David N can be contacted via phone (503) 747-6376.

Contact Information

Primary practice address
12672 Nw Barnes Rd Ste 100 Portland OR 97229-6191
Phone: (503) 747-6376
Fax: (503) 530-8406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME0084094 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD186427 Oregon

Profile Details

NPI number 1356305023
LBN Legal business name Westerdahl, David N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Oct 24th, 2020 - about 5 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 1356305023 NPPES
Florida MEDICAID 270794200

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