Individual
DANA PSYCHE DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2238 SW VISTA AVE APT 1, PORTLAND, OR 97201-2609
(702) 994-4795
Mailing address
2238 SW VISTA AVE APT 1, PORTLAND, OR 97201-2609
(702) 994-4795
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OR
246Z00000X
Other Specialist/Technologist
BAP-E-10261760
OR
Other
Enumeration date
09/05/2025
Last updated
11/20/2025
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