Provider Demographics
NPI:1801477138
Name:JONES, DANIELLE MARIE PERRY
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MARIE PERRY
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6120 SW 18TH DR APT 26
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-1992
Mailing Address - Country:US
Mailing Address - Phone:503-810-8084
Mailing Address - Fax:
Practice Address - Street 1:6120 SW 18TH DR APT 26
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-1992
Practice Address - Country:US
Practice Address - Phone:503-810-8084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health