Individual
DANIELLE MAVEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6011 NE OREGON ST UNIT 212, PORTLAND, OR 97213-4300
(971) 256-5766
Mailing address
5025 NE CAMPAIGN ST, PORTLAND, OR 97218-2119
(347) 962-2979
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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