Provider Demographics
NPI:1114164720
Name:DANIEL E FERBER MD PC
Entity Type:Organization
Organization Name:DANIEL E FERBER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:FERBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-436-2880
Mailing Address - Street 1:PO BOX 1595
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1595
Mailing Address - Country:US
Mailing Address - Phone:541-436-2880
Mailing Address - Fax:541-436-2881
Practice Address - Street 1:706 COLUMBIA AVE.
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1595
Practice Address - Country:US
Practice Address - Phone:541-436-2880
Practice Address - Fax:541-436-2881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-20
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD18804261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1073671368OtherNPI NUMBER