Individual
VIRGINIA KATHERINE DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17309 NE GLISAN ST, PORTLAND, OR 97230-6412
(503) 253-4920
Mailing address
17309 NE GLISAN ST, PORTLAND, OR 97230-6412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17974
OR
235Z00000X
Speech-Language Pathologist
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—
Other
Enumeration date
05/31/2022
Last updated
07/02/2024
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