DR. BRENDAN JOHN DALY (NPI# 1275731226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275731226 |
| Entity Type | Individual |
| Full Name | DR. BRENDAN JOHN DALY |
| Credential | MD |
| Practice Address |
2121 Ne 139th St Ste, 360 Vancouver WA 98686-2316 |
| Mailing Address |
847 Ne 19th Ave Ste 300 Portland OR 97232-2686 |
| Practice Telephone | 3602130085 |
| Practice Fax Number | 3602130049 |
| Mailing Telephone | (503) 963-2801 |
| Mailing Fax Number | 5039632825 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2008033281 | MO | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD60472825 | WA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD167157 | OR | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A114856 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2038609 | 05 | |
| OR | 500671861 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 N Columbia River Hwy, Saint Helens, OR 970511299 | 5032297554 | 5032484666 |
| 19260 Sw 65th Ave Ste 420, Tualatin, OR 970625712 | 5036920405 | 5036927978 |
| 24900 Se Stark St Ste 103, Gresham, OR 970303381 | 5039071101 | 5039070177 |
| 2222 Nw Lovejoy St Ste 606, Portland, OR 972105104 | 5032297554 | 5032484666 |
| Street Address |
2121 NE 139TH ST STE, 360 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114948668 | Kimberly H. Copeland | Emergency Medicine | 2121 Ne 139th St, Suite 200, Vancouver, WA 98686-2316 | 2006-07-21 |
| 1750925913 | Colleen Mcdevitt-maslen | Physician Assistant | 2121 Ne 139th St, Vancouver, WA 98686-2301 | 2019-10-31 |
| 1285147876 | Kelsey Rae Marks | Speech-Language Pathologist | 2121 Ne 139th St, Vancouver, WA 98686-2316 | 2017-11-06 |
| 1437609880 | Elisabeth Freeman | Occupational Therapist | 2121 Ne 139th St, Ste 200, Vancouver, WA 98686-2316 | 2016-10-10 |
| 1447706817 | Travis Munnell | Physical Therapist | 2121 Ne 139th St, Suite 325, Vancouver, WA 98686-2316 | 2016-08-26 |
| 1770037970 | Natasha Bui | Physical Therapist | 2121 Ne 139th St, Suite 200, Vancouver, WA 98686-2316 | 2016-08-05 |
| 1255798948 | Kimberly Griffin | Occupational Therapist | 2121 Ne 139th St, Vancouver, WA 98686-2316 | 2016-01-26 |
| 1508236522 | Katie Fey | Speech-Language Pathologist | 2121 Ne 139th St, Mob A Ste 200, Vancouver, WA 98686-2316 | 2015-10-02 |
| 1073994612 | Melissa Colleen Murphy | Speech-Language Pathologist | 2121 Ne 139th St, Vancouver, WA 98686-2316 | 2015-06-09 |
| 1891191847 | Alice Chandler | Physical Therapist | 2121 Ne 139th St, Suite 325, Vancouver, WA 98686-2316 | 2014-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023357845 | Samuel Everett George | Internal Medicine | 19005 Se 34th St Bldg 3, Vancouver, WA 98683 | 2013-02-14 |
| 1063716595 | Jeffrey David Feldstein | Internal Medicine | 5415 Ne 52nd St, Vancouver, WA 98661-7838 | 2010-12-23 |
| 1376790758 | Vishesh Kumar | Internal Medicine | 700 Ne 87th Ave Ste 210, Vancouver, WA 98664-4896 | 2008-08-27 |
| 1003918616 | John Megcheisen Stone | Internal Medicine | 1805 Se Solomon Loop, Vancouver, WA 98683-4631 | 2006-09-03 |
| 1801894878 | Stephen L Cook | Internal Medicine | 1115 Se 164th Ave, Dept 358, Vancouver, WA 98683-9324 | 2005-07-13 |
| 1962940015 | Hajir Zohourian | Internal Medicine | 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664-3290 | 2017-02-09 |
| 1245594464 | Noel Samantha Lee | Internal Medicine | 700 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2012-07-03 |
| 1376819367 | Olga Victorovna Demina | Internal Medicine | 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664 | 2012-03-24 |
| 1003194911 | Peacehealth Southwest Medical Center | Internal Medicine | 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664-3290 | 2011-07-26 |
| 1538458807 | Providence Health & Services - Oregon | Internal Medicine | 315 Se Stone Mill Dr, Suite 220, Vancouver, WA 98684-6987 | 2011-04-07 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.