Individual
MEGAN ELIZABETH DANISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6440
Mailing address
6436 NE MALLORY AVE, PORTLAND, OR 97211-2420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
96000304
OR
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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