MEDICARE: DANIELA SABRINA MURRIETA LPC

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
1	101YP2500X	Professional Counselor	C11168	OR

General Provider Information

NPI Number	:	1184243974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELA SABRINA MURRIETA LPC

Provider Business Mailing Address
First Line	:	11918 SE DIVISION ST # 2155
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97266-1037
Country	:	US
Telephone Number	:	541-357-6063
Fax Number	:

Provider Business Practice Location Address
First Line	:	11918 SE DIVISION ST # 2155
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97266-1037
Country	:	US
Telephone Number	:	541-357-6063
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2020
Last Update Date	:	02/04/2026

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