Individual
KATHY M DANZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16110 SW REGATTA LN, BEAVERTON, OR 97006-8942
(503) 629-2131
(503) 617-9379
Mailing address
PO BOX 42510, PORTLAND, OR 97242-0510
(503) 963-1290
(503) 230-1541
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1216
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054123015
BLUE CROSS
—
01
—
293389
VALUE OPTIONS
—
Enumeration date
07/25/2006
Last updated
07/08/2007
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