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Individual

DANIELLE BAERTSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 953-0310
Mailing address
2105 NE CESAR E CHAVEZ BLVD STE 270, PORTLAND, OR 97212-5434
(503) 836-8836
(503) 836-8144

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61200218
WA
101YP2500X
Professional Counselor
Primary
C9115
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500856624
OR
Enumeration date
09/01/2021
Last updated
03/06/2026
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