KIRK D DANIELSON MD

PROVIDENCE HEALTH AND SERVICES WASHINGTON

Dr KIRK D DANIELSON MD is a male medical professional, specializing in Physical Medicine And Rehabilitation. He graduated in 2003 from Oregon Health Sciences University School Of Medicine.

Contact

PROVIDENCE HEALTH AND SERVICES WASHINGTON

525 LILLY RD NE
OLYMPIA
WA
985065101

Tel: 3607937230

KIRK D DANIELSON MD Information

Npi 1093820797
Pac Id 1658470067
Professional Enrollment Id I20070626000703
Last Name DANIELSON
First Name KIRK
Middle Name D
Suffix
Gender M
Credential MD
Medical School Name OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2003
Primary Specialty PHYSICAL MEDICINE AND REHABILITATION
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES WASHINGTON
Group Practice Pac Id 6709782600
Number Of Group Practice Members 300
Line 1 Street Address 525 LILLY RD NE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City OLYMPIA
State WA
Zip Code 985065101
Phone Number 3607937230
Hospital Affiliation Ccn 1 500019
Hospital Affiliation Lbn 1 PROVIDENCE CENTRALIA HOSPITAL
Hospital Affiliation Ccn 2 500024
Hospital Affiliation Lbn 2 PROVIDENCE ST PETER HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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