Active NPI
Joseph W Daines, LMFT
- Marriage & Family Therapist
- Beaverton, OR
National Provider Identifier
1730306259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T0700
- Practice address
- 12720 SW 3Rd St
Beaverton, OR 97005-2703 - Phone
- (503) 620-1191
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T0700 | OR | Primary |
| Marriage & Family Therapist | 106H00000X | 60540107 | WA |
Addresses
Primary practice location
12720 SW 3Rd St
Beaverton, OR 97005-2703
Mailing address
12720 SW 3Rd St
Beaverton, OR 97005-2703
Phone (503) 620-1191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0700 | OR | MD | Marriage & Family Therapist |
| 60540107 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1730306259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12720 SW 3RD ST",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052703",
"telephone_number": "503-620-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12720 SW 3RD ST",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052703",
"telephone_number": "503-620-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAINES",
"first_name": "JOSEPH",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0700",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "60540107",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.