Most Relevant Information
Provider Data
| NPI Number: | 1003563313 |
| Provider Name: | DANIELLE MICHELLE NIEMANN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/07/2022 |
| Last Updated: | 05/12/2023 |
Provider Practice Location
3600 NW SAMARITAN DR
CORVALLIS
OR
973305472
Practice Location Phone/Fax
| Phone: | 5417684906 |
| Fax: | 6195327673 |
Provider Mailing Location
3600 NW SAMARITAN DR
CORVALLIS
OR
973305472
Provider Mailing Phone/Fax
| Phone: | 5417684906 |
| Fax: |