Provider Demographics
NPI:1871376343
Name:HANNA, DANIELLE L (PPC(DONA))
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:L
Last Name:HANNA
Suffix:
Gender:F
Credentials:PPC(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 NE 70TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-5619
Mailing Address - Country:US
Mailing Address - Phone:503-504-2726
Mailing Address - Fax:
Practice Address - Street 1:5439 SE RAYMOND ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-4853
Practice Address - Country:US
Practice Address - Phone:503-898-0566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula