Provider Demographics
NPI:1417908377
Name:DANIELS, JAMILYN M (MS)
Entity Type:Individual
Prefix:MS
First Name:JAMILYN
Middle Name:M
Last Name:DANIELS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5843 SW FLORIDA ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-1221
Mailing Address - Country:US
Mailing Address - Phone:503-282-0494
Mailing Address - Fax:
Practice Address - Street 1:5843 SW FLORIDA ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-1221
Practice Address - Country:US
Practice Address - Phone:503-282-0494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS