Most Relevant Information
Provider Data
| NPI Number: | 1003441940 |
| Provider Name: | DANIEL TRACHUK |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/11/2020 |
| Last Updated: | 03/11/2020 |
Provider Practice Location
3415 SE POWELL BLVD
PORTLAND
OR
972023371
Practice Location Phone/Fax
| Phone: | 5032349591 |
| Fax: |
Provider Mailing Location
3415 SE POWELL BLVD
PORTLAND
OR
972023371
Provider Mailing Phone/Fax
| Phone: | 5032349591 |
| Fax: |