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Contact Information

DANIEL L SUDAKIN, MD, MPH
9370 SW GREENBURG RD
SUITE 201
PORTLAND, OR97223
 Phone: 503-894-9258
 Fax: 888-307-3066
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Toxicology

2083T0002X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for DANIEL L SUDAKIN · (Male)

NPI # 1255346029
Status Active
Credentials MD, MPH
Entity Individual
Enumeration date 07/30/2006
Last updated 10/20/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD19994
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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