Daniel Bristow MD LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

DANIEL BRISTOW MD LLC

Practice address

10260 SW Greenburg Rd Ste 400
Portland, OR 97223-5514

Phone

(503) 966-5417

Fax

(503) 662-1154

NPI assigned

May 2, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel Bristow, MDNPI 1205152832

Title

Physician

Phone

(503) 966-5417

Specialties & licenses 1

Addresses

Other names 1

• TelePsycMD.com Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Joseph Bristow, M.D.

  • Psychiatry Physician
  • Portland, OR
  • NPI 1205152832
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1497544837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10260 SW GREENBURG RD STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235514",
            "telephone_number": "503-966-5417",
            "fax_number": "503-662-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 SW GREENBURG RD STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235514",
            "telephone_number": "503-966-5417",
            "fax_number": "503-662-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL BRISTOW MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "BRISTOW",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-966-5417",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TelePsycMD.com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thanh D Danh, BS
• Dani Allen LMT LLC
• David Daniali
• Daniel & Max, LLC
• Daniel Blumenthal LCSW LLC
• Daniel C Donohue, LLC
• Daniel E Beeson DC PC
• Daniel G Stinea LLC
• Daniel G Stinea LLC
• Daniel Hofmann Counseling, LLC

• Adult Mental Health Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.