IndividualActive
Danielle Booth
NPI 1174109466 · Social Worker · White City, OR
Provider details
- NPI number
- 1174109466
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- M10339 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
8495 Crater Lake Hwy
White City, OR 97503-3011
Phone: (541) 826-2111
Approximate (ZIP-level) locationGet directions
Mailing address
8495 Crater Lake Hwy
White City, OR 97503-3011
Registry dates
- Enumerated
- 2021-03-18
- Last updated
- 2021-03-18
- Certified
- 2021-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.