Individual
DR. DANIEL MILES STORZBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, P3MHDC,, PORTLAND, OR 97239-2964
(503) 273-5187
(503) 220-3490
Mailing address
4946 SW FAIRHAVEN DR, PORTLAND, OR 97221-2618
(503) 478-0954
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1306
OR
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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