Healthcare Provider Details

I. General information

NPI: 1295596294
Provider Name (Legal Business Name): DARYN MCDERMID MS, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2024
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16475 SW ESTUARY DR APT 202
BEAVERTON OR
97006-7955
US

IV. Provider business mailing address

16475 SW ESTUARY DR APT 202
BEAVERTON OR
97006-7955
US

V. Phone/Fax

Practice location:
  • Phone: 971-448-2383
  • Fax:
Mailing address:
  • Phone: 971-448-2383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: