Provider Demographics
NPI:1932953874
Name:DANAHY, LAUREN JEAN-KELLY (RN, BS, MBA)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:JEAN-KELLY
Last Name:DANAHY
Suffix:
Gender:F
Credentials:RN, BS, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 SW 87TH AVE UNIT 25035
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97298-0839
Mailing Address - Country:US
Mailing Address - Phone:971-777-2687
Mailing Address - Fax:
Practice Address - Street 1:18670 WILLAMETTE DR STE 101
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-1796
Practice Address - Country:US
Practice Address - Phone:503-636-1133
Practice Address - Fax:503-345-7200
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR099005081RN163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management