DANIEL ALEXANDER ANANYEV

PROVIDENCE HEALTH AND SERVICES OREGON

Dr DANIEL ALEXANDER ANANYEV is a male medical professional, specializing in Family Medicine. He graduated in 2011 from College Of Osteo Of The Pacific.

Contact

PROVIDENCE HEALTH AND SERVICES OREGON

16180 SE SUNNYSIDE RD
102 PROV MED GR HAP VALL
HAPPY VALLEY
OR
970156379

Tel: 5035824900

DANIEL ALEXANDER ANANYEV Information

Npi 1255678439
Pac Id 1052537255
Professional Enrollment Id I20140724000913
Last Name ANANYEV
First Name DANIEL
Middle Name ALEXANDER
Suffix
Gender M
Credential
Medical School Name COLLEGE OF OSTEO OF THE PACIFIC
Graduation Year 2011
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Group Practice Pac Id 0648183608
Number Of Group Practice Members 1139
Line 1 Street Address 16180 SE SUNNYSIDE RD
Line 2 Street Address 102 PROV MED GR HAP VALL
Marker Of Address Line 2 Suppression
City HAPPY VALLEY
State OR
Zip Code 970156379
Phone Number 5035824900
Hospital Affiliation Ccn 1 380082
Hospital Affiliation Lbn 1 PROVIDENCE MILWAUKIE HOSPITAL
Hospital Affiliation Ccn 2 380061
Hospital Affiliation Lbn 2 PROVIDENCE PORTLAND MEDICAL CENTER
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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