Individual
DANIELLE L BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 623-9289
Mailing address
860 JEFFERSON ST NE, SALEM, OR 97301-7177
(971) 388-7336
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
05/08/2024
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