Individual
PRISCILLA DANIELS-MARK GRACE DANIELS-MARK I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5847 NE 122ND AVE STE 200, PORTLAND, OR 97230-1079
(971) 339-7040
Mailing address
7563 SE 37TH AVE, PORTLAND, OR 97202-8055
(530) 440-3000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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