Individual
DANIELLE TERESA CARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7759 SE 72ND AVE, PORTLAND, OR 97206-7921
(503) 788-4500
Mailing address
11954 NE GLISAN ST # 311, PORTLAND, OR 97220-2143
(360) 860-0015
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
201801218CNA
OR
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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