Provider Demographics
NPI:1265802458
Name:MILLIGAN, DANIEL DOUGLAS (ND)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:DOUGLAS
Last Name:MILLIGAN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4512 DUBOIS DR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-6040
Mailing Address - Country:US
Mailing Address - Phone:503-406-8741
Mailing Address - Fax:888-997-2920
Practice Address - Street 1:256 SE 2ND AVE
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4017
Practice Address - Country:US
Practice Address - Phone:503-301-4411
Practice Address - Fax:833-974-2289
Is Sole Proprietor?:No
Enumeration Date:2015-09-30
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT61169994175F00000X
OR3008175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath