Mariclare Daly, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

15608 Issued in OR

Practice address

2106 NE 47TH Ave
Portland, OR 97213-2064

Phone

(503) 282-7581

NPI assigned

Mar 17, 2009

Reactivated

Mar 28, 2014

Last updated

Mar 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Overvold Chiropractic

  • Chiropractor
  • Portland, OR
  • NPI 1215210539
  NPD (past)
• Portland Spine Center LLC

  • Chiropractor
  • Portland, OR
  • NPI 1649682022
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1366683534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4993 SE 30TH AVE APT 98",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024580",
            "telephone_number": "971-279-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NE 47TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132064",
            "telephone_number": "503-282-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "MARICLARE",
        "name_prefix": "Miss",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2014-03-28",
        "deactivation_date": "2011-11-22",
        "reactivation_date": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "15608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Anne Dalton, CCC-SLP
• Aimee Marie Daly, BCBA
• Anne T Daly, FNP
• Ivonne M Daly, MD
• Jessica Daly
• Mary Patricia Daly, SLP
• Teresa Anne Leman Daly, RN
• Vanessa Leigh Daly, PHARMD
• Linda Sue Damaskos, CRNFA
• Stacey Ann Damazo, FNP-BC

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.