person
Michael Mangum
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1659669638

Michael Mangum is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Michael Mangum practices in Portland, OR. The NPI Number for Michael Mangum is 1659669638 and holds a License No. (Oregon).

The current practice location address for Michael Mangum is 4941 Ne 17Th Ave, Portland, OR and can be reached out via phone at 503-282-3296.

Location: 4941 Ne 17Th Ave, Portland, OR, 97229-5442
person
Provider Profile Details
NPI Number
1659669638
Provider Name
Michael Mangum
Credential
Provider Entity Type
Individual
Gender
Male
Address
4941 Ne 17Th Ave, Portland, OR, 97229-5442
Phone Number
503-282-3296
Fax Number
Provider Enumeration Date
07/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4941 Ne 17Th Ave
City
State
Zip
97211-5709
Phone Number
503-282-3296
Fax Number
person
Provider Business Mailing Address Details
Address
4941 Ne 17Th Ave
City
State
Zip
97211-5709
Phone Number
503-282-3296
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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