NPI Profile for DANIELLE A PLOUSSARD in PORTLAND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Dentist |
122300000X | |||
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1841650777 |
|
| Status | Active | |
| Credentials | D.D.S., M.D. | |
| Entity | Individual | |
| Enumeration date | 03/04/2016 | |
| Last updated | 08/22/2025 - About 10 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DANIELLE A PLOUSSARD
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