Provider Demographics
NPI:1750028742
Name:DOWNING, DANNY (LPN)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:
Last Name:DOWNING
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 N ELDORADO AVE
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-6417
Mailing Address - Country:US
Mailing Address - Phone:541-273-6206
Mailing Address - Fax:541-273-6207
Practice Address - Street 1:2225 N ELDORADO AVE
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-6417
Practice Address - Country:US
Practice Address - Phone:541-273-6206
Practice Address - Fax:541-273-6207
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200230057261QV0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR06031992OtherVHA