Provider Demographics
NPI:1073008348
Name:MERRILL, DANAE CHRISTINE (LPC)
Entity Type:Individual
Prefix:
First Name:DANAE
Middle Name:CHRISTINE
Last Name:MERRILL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DANAE
Other - Middle Name:CHRISTINE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2724 NE PALAZZA WAY
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-7702
Mailing Address - Country:US
Mailing Address - Phone:360-771-1640
Mailing Address - Fax:
Practice Address - Street 1:827 NE ALBERTA ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97211
Practice Address - Country:US
Practice Address - Phone:541-801-3803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-28
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor