Provider Demographics
NPI:1730446345
Name:MCCARY, DANIELLE ERIN (DC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ERIN
Last Name:MCCARY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 E BURNSIDE ST STE 213
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-1768
Mailing Address - Country:US
Mailing Address - Phone:503-234-4288
Mailing Address - Fax:503-234-8613
Practice Address - Street 1:2705 E BURNSIDE ST STE 213
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-1768
Practice Address - Country:US
Practice Address - Phone:503-234-4288
Practice Address - Fax:503-234-8613
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5016111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor