Provider Demographics
NPI:1720206261
Name:ALBRECHT, DANIEL RAYMOND (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:RAYMOND
Last Name:ALBRECHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 NE 48TH AVE STE 1100
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-5062
Mailing Address - Country:US
Mailing Address - Phone:503-844-8310
Mailing Address - Fax:503-844-8316
Practice Address - Street 1:1200 NE 48TH AVE STE 1100
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-5062
Practice Address - Country:US
Practice Address - Phone:503-844-8310
Practice Address - Fax:503-844-8316
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD155693208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation