Provider Demographics
NPI:1386767192
Name:HOSMER, DANIELLE DELL (MD)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:DELL
Last Name:HOSMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:DELL
Other - Last Name:WALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:740 NW MACLEAY BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-2701
Mailing Address - Country:US
Mailing Address - Phone:503-201-6763
Mailing Address - Fax:
Practice Address - Street 1:2222 NW LOVEJOY ST STE 411
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-5102
Practice Address - Country:US
Practice Address - Phone:503-413-5702
Practice Address - Fax:503-413-6499
Is Sole Proprietor?:No
Enumeration Date:2007-04-08
Last Update Date:2012-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD26666207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine