Individual
DANIEL ELDRENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 SE CESAR E CHAVEZ BLVD APT 217, PORTLAND, OR 97214-5260
(641) 799-3927
Mailing address
1620 SE CESAR E CHAVEZ BLVD APT 217, PORTLAND, OR 97214-5260
(641) 799-3927
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
277926
OR
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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