Individual
DR. NAOMI ANN MANDSAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, PH. D.
Contact information
Practice address
1450 NE VILLAGE ST, FAIRVIEW, OR 97024-3827
(503) 492-4492
Mailing address
1450 NE VILLAGE ST, FAIRVIEW, OR 97024-3827
(503) 492-4492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C1500
OR
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C1500
OR
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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