Daniel L Moline, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD09058 Issued in OR

Legal business name

DANIEL L MOLINE, MD, PC

Practice address

124 NW Midland Ave
Suite 108
Grants Pass, OR 97526-1269

Phone

(541) 474-5665

Fax

(541) 474-4435

NPI assigned

Sep 25, 2007

Last updated

Oct 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel L Moline, MD

Title

Owner

Phone

(541) 474-5665

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1821285669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 NW MIDLAND AVE",
            "address_2": "SUITE 108",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261269",
            "telephone_number": "541-474-5665",
            "fax_number": "541-474-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NW MIDLAND AVE",
            "address_2": "SUITE 108",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261269",
            "telephone_number": "541-474-5665",
            "fax_number": "541-474-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL L MOLINE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "MOLINE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-474-5665",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD09058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Dague, LCSW, QMHP
• Dennis Dale, RN
• Shawnee Elsa Dale, BS
• Quchyal Lei Dance, LMT
• Daniel Dirk
• James Brant Darby, DDS
• Darren S Huddleston DMD PC
• Caroline Lazaga Dasalla, RN
• Davera Corporation (Redwood Family Practice)
• David D. Candelaria, MD (Madrone Family Medicine)

• Family Medicine Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.