| Danielle Davis | |
|
6536 Se Duke St # 8 Portland OR 97206-6665 | |
| (323) 359-4068 | |
| Not Available |
| Full Name | Danielle Davis |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6536 Se Duke St # 8, Portland, Oregon |
| Authorized Official Name and Position | Danielle Lauren Davis (OWNER / SOLE PROPRIETOR) |
| Authorized Official Contact | 3233594068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Davis 5512 Se Lafayette St Portland OR 97206-2946 Ph: (323) 359-4068 | Danielle Davis 6536 Se Duke St # 8 Portland OR 97206-6665 Ph: (323) 359-4068 |
| NPI Number | 1881580728 |
|---|---|
| Provider Enumeration Date | 06/17/2025 |
| Last Update Date | 06/17/2025 |
| Certification Date | 06/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881580728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
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