Provider Demographics
NPI:1447945761
Name:BECK, DANIELLE LAUREN (OTR)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LAUREN
Last Name:BECK
Suffix:
Gender:
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 946
Mailing Address - Street 2:
Mailing Address - City:CANBY
Mailing Address - State:OR
Mailing Address - Zip Code:97013-0946
Mailing Address - Country:US
Mailing Address - Phone:035-908-9044
Mailing Address - Fax:
Practice Address - Street 1:8700 SW CREEKSIDE PL
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-7391
Practice Address - Country:US
Practice Address - Phone:503-908-6120
Practice Address - Fax:971-244-9044
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR490730225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist