Individual
DANIELLE MARIE HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-CP
Contact information
Practice address
9290 SE SUNNYBROOK BLVD, #200, CLACKAMAS, OR 97015-6899
(503) 659-1694
Mailing address
9290 SE SUNNYBROOK BLVD, #200, CLACKAMAS, OR 97015-6899
(503) 659-1694
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201507357NP-PP
OR
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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