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Individual

MICHAEL THOMAS DANIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA LPC

Contact information

Practice address
9670 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3307
(503) 626-9494
Mailing address
1645 NW EASTBROOK CT, BEAVERTON, OR 97006-3252
(503) 307-5834

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4156
OR
101YP2500X
Professional Counselor
Primary
C4156
OR

Other

Enumeration date
08/15/2018
Last updated
03/13/2026
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