Healthcare Provider Details

I. General information

NPI: 1194911032
Provider Name (Legal Business Name): MRS. DONNA JEAN DANIES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS DONNA JEAN NIEMELA

II. Dates (important events)

Enumeration Date: 09/24/2007
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14406 NE 20TH AVE
VANCOUVER WA
98686-1448
US

IV. Provider business mailing address

500 NE MULTNOMAH ST STE 100
PORTLAND OR
97232-2031
US

V. Phone/Fax

Practice location:
  • Phone: 800-813-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number200750120NP
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP70093978
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number200750120NP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: