Individual
DANIEL M WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-0830
Mailing address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-0830
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225100000X
Physical Therapist
Primary
65160
OR
Other
Enumeration date
06/24/2020
Last updated
02/15/2024
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