Individual
DANNIELLE KELLY BIDDISCOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10313 SW 69TH AVE, TIGARD, OR 97223-9103
(509) 552-9504
Mailing address
10313 SW 69TH AVE, TIGARD, OR 97223-9103
(509) 552-9504
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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