NPI 1306638036

Daniel Fontillas Mesiano

Practitioner Driver Beaverton, OR

Practice location

Address: 12340 SW Center St APT 44, Beaverton, OR 97005-5409
Phone: (503) 440-1329

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence A883006 (OR)

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Registry record

NPI: 1306638036
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2025
Record last updated: 19 May 2025

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.