DR. DANIEL JAMES SISCO N.D.
NPI 1902950645
Clinic/Center in Portland, OR

Active since January 22, 2007
3351 NE BROADWAY ST, PORTLAND, OR 97232(503) 282-9222(503) 282-8116 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Daniel James Sisco N.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANIEL JAMES SISCO N.D. (NPI 1902950645) is an individual clinic/center provider in Portland, Oregon, licensed in Oregon (000536) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1902950645
Entity TypeIndividualMale
Primary Taxonomy261Q00000X
Provider Legal NameDR. DANIEL JAMES SISCOCredential: N.D.
Location Address3351 NE BROADWAY STPortland, OR 97232-1816
Mailing Address3351 Ne Broadway StPortland, OR 97232-1816 · (503) 282-9222 · Fax (503) 282-8116
Fax(503) 282-8116
Sole ProprietorYes
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1902950645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in OR · 000536
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3351 NE BROADWAY ST, Portland, OR 97232

Other Identifiers 1

Medicaid27805-1OR

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Midwife
3351 NE BROADWAY ST
PORTLAND, OR 97232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Sisco's NPI number?

The NPI number for Daniel Sisco is 1902950645. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Daniel Sisco located?

Daniel Sisco practices at 3351 NE Broadway St, Portland, OR 97232. The listed phone number is (503) 282-9222.

What is Daniel Sisco's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Daniel Sisco was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.