Individual
DANIELLE DESROCHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST FL 11, PORTLAND, OR 97232-2023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101243697
VA
207Q00000X
Family Medicine Physician
Primary
MD175364
OR
Other
Enumeration date
05/31/2007
Last updated
08/28/2025
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