Individual
DANIEL ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6941 N CENTRAL ST, PORTLAND, OR 97203-6299
(503) 916-5260
Mailing address
6941 N CENTRAL ST, PORTLAND, OR 97203-6299
(503) 916-5260
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
543598
OR
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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