Cassidy, Danielle M
Cassidy, Danielle M is an individual health care provider with primary practice located at 2801 N Gantenbein Ave , Portland OR 97227-1623. She recently has only one registered license in Pharmacy Service Providers / Pediatrics, which is considered as her primary health care specialty. Cassidy, Danielle M can be contacted via phone (503) 413-1758.Contact Information
Primary practice address
2801 N Gantenbein Ave
Portland OR 97227-1623
Phone: (503) 413-1758
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pediatrics | 1835P0200X | 0012554 | Oregon |
Profile Details
| NPI number | 1124661582 |
|---|---|
| LBN Legal business name | Cassidy, Danielle M |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2019 |
| Last updated | Oct 17th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124661582 | NPPES |
| Oregon | Other | RPH-0012554 | LICENSE |
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