Provider Demographics
NPI:1114032836
Name:SELBY, DAVID W (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:W
Last Name:SELBY
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:16463 BOONES FERRY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-4374
Mailing Address - Country:US
Mailing Address - Phone:503-635-1350
Mailing Address - Fax:503-635-8470
Practice Address - Street 1:16463 BOONES FERRY RD STE 100
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-4374
Practice Address - Country:US
Practice Address - Phone:503-635-1350
Practice Address - Fax:503-635-8470
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2019-06-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORDO14260207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine