Individual
MISS DANIELLE ANEES GUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1507 NE 122ND AVE, PORTLAND, OR 97230
(503) 258-4200
Mailing address
1507 NE 122ND AVE, PORTLAND, OR 97230-1911
(503) 258-4200
(503) 926-6606
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/02/2012
Last updated
06/06/2018
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