DANIEL DAVID HIGGINSON

PORTLAND, OR
NPI1700157153
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-01-17
Last Update Date2012-01-17
Business Address
Mr. DANIEL DAVID HIGGINSON
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1404
Phone number: 503-535-1181
Mailing Address
Mr. DANIEL DAVID HIGGINSON
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number:
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