Individual provider · Type 1 NPI

Nicole Marie McDaniel, PT

Specialist · Portland, OR

NPI number 1104826601 Active

Practice location

530 NW 23rd Ave, Suite #116
Portland, OR 97210-3275

Call (971) 258-0995 Map

Fax (844) 364-4344

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X5138 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104826601

Nicole Marie McDaniel, PT's National Provider Identifier is 1104826601, issued on Jul 26, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Feb 20, 2017.