Elizabeth Bagnulo Dacey M.D.

NPI 1265799407 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1265799407
Gender Female
Enumeration Date 04/12/2012
Last Updated 04/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3181 SW SAM JACKSON PARK ROAD
OHSU
PORTLAND OR, 97239, US
Phone (503) 494-8211
Fax
Business Location
928 DELAWARE AVE
VIRGINIA BEACH VA, 23451, US
Phone (757) 831-8469
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Elizabeth Bagnulo Dacey M.D. NPI is 1265799407, taxonomy code is 390200000X Elizabeth Bagnulo Dacey M.D. physically located at 3181 Sw Sam Jackson Park Road, Portland OR, 97239. NPI Number Elizabeth Bagnulo Dacey M.D. has the Individual type.

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1265799407 NPI number is provided on an as is basis without warranty of any kind. 1265799407 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Bagnulo Dacey M.D. are for informational purposes only.