Individual
DANIEL ORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6828 SE HOLGATE BLVD, PORTLAND, OR 97206-3504
(503) 593-8404
Mailing address
2697 SW LINNEMAN DR, GRESHAM, OR 97080-6340
(503) 593-8404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-21-736
OR
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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