Individual
MISTEN M DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2105 FAIRHAVEN CT, WEST LINN, OR 97068-3773
(503) 853-3308
Mailing address
2105 FAIRHAVEN CT, WEST LINN, OR 97068-3773
(503) 853-3308
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/19/2019
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