Daniel Carroll Harold

NPI 1124250634 - Counselor - 101YA0400X

NPI Details
NPI 1124250634
Gender Male
Enumeration Date 08/17/2009
Last Updated 09/21/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
2705 E BURNSIDE ST
SUITE 206
PORTLAND OR, 97214-1763, US
Phone (503) 516-4455
Fax
Business Location
1044 NE ONEONTA ST
PORTLAND OR, 97211-4074, US
Phone (503) 516-4455
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Oregon
License Number L6147
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According to our database, Daniel Carroll Harold NPI is 1124250634, taxonomy code is 101YA0400X and license number is L6147, license state is located at Oregon. Daniel Carroll Harold physically located at 2705 E Burnside St, Portland OR, 97214-1763. NPI Number Daniel Carroll Harold has the Individual type.

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1124250634 NPI number is provided on an as is basis without warranty of any kind. 1124250634 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Carroll Harold are for informational purposes only.