Individual
DANA SCHWAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
18417 SE OAK ST, PORTLAND, OR 97233-4850
(971) 727-8026
Mailing address
18417 SE OAK ST, PORTLAND, OR 97233-4850
(971) 727-8206
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4095965
OR
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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