Most Relevant Information
Provider Data
| NPI Number: | 1003654120 |
| Provider Name: | DANICA WILLIAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/15/2024 |
| Last Updated: | 08/16/2024 |
Provider Practice Location
3615 NE GRAND AVE
PORTLAND
OR
972122104
Practice Location Phone/Fax
| Phone: | 5032811166 |
| Fax: | 5032810787 |
Provider Mailing Location
1711 N GOING ST LOWR
PORTLAND
OR
972173300
Provider Mailing Phone/Fax
| Phone: | 6178998783 |
| Fax: |