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NPI Code Detail

MEDICARE: DANIELLE BAERTSCH

MEDICARE: DANIELLE BAERTSCH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorC9115OR
2101Y00000XCounselorCG61200218WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578231825
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE BAERTSCH
Provider Business Mailing Address
First Line : 2105 NE CESAR E CHAVEZ BLVD STE 270
Second Line :
City : PORTLAND
State : OR
Zip : 97212-5434
Country : US
Telephone Number : 503-836-8836
Fax Number : 503-836-8144
Provider Business Practice Location Address
First Line : 2901 E BURNSIDE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97214-1831
Country : US
Telephone Number : 503-953-0310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2021
Last Update Date : 03/06/2026

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Directions to “ DANIELLE BAERTSCH ” Practice Location

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