Individual
MR. DANIEL LOGUE BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11010 SE DIVISION ST # 202, PORTLAND, OR 97266-6400
(503) 335-5975
Mailing address
7204 NE GLISAN ST APT M, PORTLAND, OR 97213-6351
(510) 962-2976
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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