Individual
DANICA CHANDRA DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
(503) 205-0190
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
(503) 205-0190
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
006929
AZ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
DO207619
OR
Other
Enumeration date
04/09/2009
Last updated
01/27/2022
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