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1194685867
DANIEL GREGG VANDAAM
PORTLAND, OR
NPI
1194685867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2025-11-14
Last Update Date
2025-11-14
Business Address
DANIEL GREGG VANDAAM
12670 NW BARNES RD STE 200
PORTLAND, OR 97229-9001
Phone number: 971-213-7222
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Mailing Address
DANIEL GREGG VANDAAM
12670 NW BARNES RD STE 200
PORTLAND, OR 97229-9001
Phone number: 971-213-7222
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