Provider Demographics
NPI:1467522763
Name:HALKO, DANIEL ORREN (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ORREN
Last Name:HALKO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 N LOMBARD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217
Mailing Address - Country:US
Mailing Address - Phone:503-285-4137
Mailing Address - Fax:503-285-8873
Practice Address - Street 1:3605 N LOMBARD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217
Practice Address - Country:US
Practice Address - Phone:503-285-4137
Practice Address - Fax:503-285-8873
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3573111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORU96981Medicare UPIN
OR134160Medicare ID - Type Unspecified
OR13416Medicare PIN