Provider Demographics
NPI:1063209914
Name:CURTIS, DANIELLE (CRM , CADC-R)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:CURTIS
Suffix:
Gender:
Credentials:CRM , CADC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11010 SE DIVISION ST STE 11104SE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-6400
Mailing Address - Country:US
Mailing Address - Phone:971-703-4623
Mailing Address - Fax:
Practice Address - Street 1:11104 SE STARK ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97216-3353
Practice Address - Country:US
Practice Address - Phone:971-703-4623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR24-CRM-3683175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist