Individual
DANIELLE MARIE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7740 SE POWELL BLVD, PORTLAND, OR 97206-2349
(916) 430-0815
Mailing address
1740 NW GLISAN ST # M-140, PORTLAND, OR 97209-2225
(916) 430-0815
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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