NPI 1225880826

Colton Joseph Danforth, PAC

Practitioner Medical Physician Assistant Reedsport, OR

Practice location

Address: 620 Ranch Rd, Reedsport, OR 97467-1796
Phone: (541) 271-2163
Fax: (541) 271-4058
Mailing address: 1813 W Harvard Ave STE 310, Roseburg, OR 97471-2756

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA218705 (OR)

Other Physician Assistant providers in Oregon →

Registry record

NPI: 1225880826
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2024
Record last updated: 30 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.