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Nicole Marie Mcdaniel, PT
Specialist in Portland, Oregon
NPI 1104826601

Nicole Marie Mcdaniel is a Specialist based in Portland, OR. Nicole Marie Mcdaniel practices in Portland, OR and has the professional credentials of PT. The NPI Number for Nicole Marie Mcdaniel is 1104826601 and holds a License No. 5138 (Oregon).

The current practice location address for Nicole Marie Mcdaniel is 530 Nw 23Rd Ave, Portland, OR and can be reached out via phone at 971-258-0995 and via fax at 844-364-4344.

Location: 530 Nw 23Rd Ave, Portland, OR, 97210-3287
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Provider Profile Details
NPI Number
1104826601
Provider Name
Nicole Marie Mcdaniel
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
530 Nw 23Rd Ave, Portland, OR, 97210-3287
Phone Number
971-258-0995
Fax Number
844-364-4344
Provider Enumeration Date
07/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17657385 05 NM
2914 01 NM STATE OF NM REG & LICENS.
institution
Provider Business Practice Location Address Details
Address
530 Nw 23Rd Ave
City
State
Zip
97210-3275
Phone Number
971-258-0995
Fax Number
844-364-4344
person
Provider Business Mailing Address Details
Address
530 Nw 23Rd Ave
City
State
Zip
97210-3275
Phone Number
971-258-0995
Fax Number
844-364-4344
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
5138 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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