Daniel Scott Domrose, DPM
Podiatrist in Corvallis, OR. Individual provider (NPI-1).
NPI number1417001041
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1417001041
- Entity type
- Individual (NPI-1)
- Name
- Daniel Scott Domrose
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | DP00264 | OR | Yes |
Practice location
2440 Nw Professional DrTimber Hill Foot Clinic Daniel S Domrose Dpm
Corvallis, OR 97330
Phone 541-754-9665 · Fax 541-758-5706
Mailing address
2440 Nw Professional DrTimber Hill Foot Clinic Daniel S Domrose Dpm
Corvallis, OR 97330
Phone 541-754-9665 · Fax 541-758-5706
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