Individual
MS. DANIELLE KATHRYN ADDLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2450 SW PERKINS AVE, PENDLETON, OR 97801-4302
(541) 276-1700
(541) 276-6327
Mailing address
2450 SW PERKINS AVE, PENDLETON, OR 97801-4302
(541) 276-1700
(541) 276-6327
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA164124
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500666136
—
OR
Enumeration date
02/10/2012
Last updated
03/17/2018
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