Individual
DANIEL JAYLIN PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3620 SE POWELL BLVD STE 102, PORTLAND, OR 97202-1889
(206) 752-3715
Mailing address
3620 SE POWELL BLVD STE 102, PORTLAND, OR 97202-1889
(206) 752-3715
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
92900
TX
101Y00000X
Counselor
C10264
OR
101Y00000X
Counselor
LH61643244
WA
101YM0800X
Mental Health Counselor
92900
TX
101YM0800X
Mental Health Counselor
Primary
C10264
OR
101YM0800X
Mental Health Counselor
LH61643244
WA
Other
Enumeration date
03/30/2023
Last updated
03/27/2026
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