Individual
DANIELLE NIGHTSHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1000 3RD ST, TILLAMOOK, OR 97141-3430
(503) 842-4444
(503) 815-7429
Mailing address
980 3RD ST STE 200, TILLAMOOK, OR 97141-9469
(503) 842-4444
(503) 815-7429
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4425
OR
Other
Enumeration date
07/12/2023
Last updated
12/08/2025
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