DANIEL JOHN GRANVILLE DPM
NPI 1174623714
Podiatrist - Foot & Ankle Surgery in Clackamas, OR
- Individual
- Male
- Podiatrist
- Foot & Ankle Surgery
About DANIEL GRANVILLE
This page provides the complete NPI Profile along with additional information for Daniel Granville, a provider established in Clackamas, Oregon with a medical specialization in Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1174623714 assigned on September 2006. The practitioner's primary taxonomy code is 213ES0103X with license number DP00222 (OR). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1174623714 Verify this NPI
- Provider Name
- DANIEL JOHN GRANVILLE DPM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10100 SE SUNNYSIDE RD CLACKAMAS, OR 97015
- Location Phone
- (503) 786-8435
- Mailing Address
- 2551 BEACON HILL DR WEST LINN, OR 97068
- Mailing Phone
- (503) 722-2466
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-24-2006
- Last Update Date
- 02-04-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- DP00222
- License State
- OR
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 213ES0103X | Podiatric Medicine & Surgery Service Providers | Podiatrist | PO00000601 (WA) |
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CLACKAMAS, OR 97015
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174623714, enumerated as an "individual" on September 24, 2006.
The provider is located at 10100 SE SUNNYSIDE RD CLACKAMAS, OR 97015 and the phone number is (503) 786-8435.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
