| Daniel C Donohue, Llc | |
|
2931 Ne Broadway St Portland OR 97232-1760 | |
| (503) 819-2515 | |
| Not Available |
| Full Name | Daniel C Donohue, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2931 Ne Broadway St, Portland, Oregon |
| Authorized Official Name and Position | Daniel C Donohue (OWNER) |
| Authorized Official Contact | 5038192515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel C Donohue, Llc 2931 Ne Broadway St Portland OR 97232-1760 Ph: (503) 819-2515 | Daniel C Donohue, Llc 2931 Ne Broadway St Portland OR 97232-1760 Ph: (503) 819-2515 |
| NPI Number | 1003396961 |
|---|---|
| Provider Enumeration Date | 08/20/2018 |
| Last Update Date | 08/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003396961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6067 (Oregon) | Primary |
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