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Individual

DANIELLE NUTTING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPRP, CPSS, BA

Contact information

Practice address
390 NE 2ND ST, ONTARIO, OR 97914-2513
(541) 889-1050
Mailing address
PO BOX V, ONTARIO, OR 97914-0076
(541) 889-1050

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
ID
175T00000X
Peer Specialist
ID
225400000X
Rehabilitation Practitioner
Primary
4880890
ID

Other

Enumeration date
02/29/2024
Last updated
02/29/2024
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