Daniel Fontillas Mesiano

NPI #1306638036 in Beaverton, Oregon

Provider Information

NPI Number: 1306638036
Entity Type: Individual
Name: Daniel Fontillas Mesiano
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: May 19, 2025
Last Updated: May 19, 2025

Practice Location

Address: 12340 SW CENTER ST APT 44
City: Beaverton
State: Oregon
ZIP Code: 97005-5409
Phone: (503) 440-1329

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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