Provider Demographics
NPI:1801073580
Name:ARTHUR, DANIEL (FNP)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:TILLAMOOK
Mailing Address - State:OR
Mailing Address - Zip Code:97141-2000
Mailing Address - Country:US
Mailing Address - Phone:503-842-3661
Mailing Address - Fax:503-842-5331
Practice Address - Street 1:216 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:TILLAMOOK
Practice Address - State:OR
Practice Address - Zip Code:97141-2000
Practice Address - Country:US
Practice Address - Phone:503-842-3661
Practice Address - Fax:503-842-5331
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR080046352N1FNP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR02384001OtherREGENCE BCBS
ORL103001OtherPACIFIC SOURCE
OR114590Medicaid
ORL103001OtherPACIFIC SOURCE
OR02384001OtherREGENCE BCBS