Individual
NICOLE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
(971) 224-2040
Mailing address
5024 SE 40TH AVE, PORTLAND, OR 97202-4222
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
308567
OR
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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