Individual
DANIEL BAXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
447 SE BASELINE ST, HILLSBORO, OR 97123-4103
(503) 640-0334
Mailing address
950 SW 21ST AVE, APT #18, PORTLAND, OR 97205-1562
(808) 673-0366
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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