Individual
MS. MARGEAUX DANIELLE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080
(503) 666-5050
(503) 666-1162
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA184665
OR
363A00000X
Physician Assistant
PA60936449
WA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/02/2017
Last updated
12/07/2021
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