NPI 1255678439 · live from the CMS NPI Registry
Daniel Alexander Ananyev, D.O.
Family Medicine in Lake Oswego, OR. National Provider Identifier 1255678439, active.
NPI record
| NPI | 1255678439 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 16463 Boones Ferry Rd Ste 300, Lake Oswego, OR 97035 |
| Practice phone | 503-658-9351 |
| Mailing address | Po Box 4037, Portland, OR 97208 |
| Enumerated | January 9, 2013 |
| Last updated | January 22, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | DO166843 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.