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Contact Information

DANIEL S DOMROSE, DPM
2440 NW PROFESSIONAL DR
TIMBER HILL FOOT CLINIC DANIEL S DOMROSE DPM
CORVALLIS, OR97330
 Phone: 541-754-9665
 Fax: 541-758-5706
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DANIEL S DOMROSE · (Male)

NPI Number 1417001041
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/22/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OR License # DP00264
  • OR Medicaid 073119
  • OR Other DP00264 STATE LICENSE
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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