Individual
DR. PAMELA ANNE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5820 SW SOUTHVIEW PL, PORTLAND, OR 97219-7134
(503) 224-4903
Mailing address
5820 SW SOUTHVIEW PL, PORTLAND, OR 97219-7134
(503) 224-4903
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0676
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0606
BCBS
—
Enumeration date
03/24/2006
Last updated
03/11/2016
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