Organization
DANIELLE DAVIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE LAUREN DAVIS LPC (OWNER / SOLE PROPRIETOR)
(323) 359-4068
Entity
Organization
Contact information
Practice address
6536 SE DUKE ST # 8, PORTLAND, OR 97206-6665
(323) 359-4068
Mailing address
5512 SE LAFAYETTE ST, PORTLAND, OR 97206-2946
(323) 359-4068
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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