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Individual

DANIELA FAWCETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
5200 MEADOWS RD STE 200, LAKE OSWEGO, OR 97035-0086
(855) 255-1750
(855) 255-0905
Mailing address
15352 SE ARROWHEAD PL, HAPPY VALLEY, OR 97086-7379
(310) 384-6520

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10019434
OR
363L00000X
Nurse Practitioner
AP61522042
WA
363LF0000X
Family Nurse Practitioner
10019434
OR
363LF0000X
Family Nurse Practitioner
95017430
CA
363LF0000X
Family Nurse Practitioner
AP61522042
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2289700
WA
05
500841586
OR
Enumeration date
06/20/2021
Last updated
05/05/2026
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