Healthcare Provider Details

I. General information

NPI: 1487509840
Provider Name (Legal Business Name): DAREEN S HANIYAH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15751 SW PLEASANT HILL RD
SHERWOOD OR
97140-8437
US

IV. Provider business mailing address

15751 SW PLEASANT HILL RD
SHERWOOD OR
97140-8437
US

V. Phone/Fax

Practice location:
  • Phone: 503-521-6576
  • Fax:
Mailing address:
  • Phone: 503-521-6576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-NP10067375
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: