Individual
TASHA LOUISE DANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3320 SE HOLGATE BLVD, PORTLAND, OR 97202-3459
(503) 231-1411
Mailing address
1118 SE HARRISON ST, PORTLAND, OR 97214-4751
(503) 206-1765
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8738
OR
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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