Provider Demographics
NPI:1285716951
Name:SCHIFF, DANIEL J (PHD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:SCHIFF
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 NE HAZELFERN PL
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2627
Mailing Address - Country:US
Mailing Address - Phone:503-234-6887
Mailing Address - Fax:
Practice Address - Street 1:1033 SW YAMHILL ST
Practice Address - Street 2:SUITE 402
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2545
Practice Address - Country:US
Practice Address - Phone:503-290-4655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1120103T00000X
OR1752103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAABD4235Medicare ID - Type Unspecified