Individual
PROF. JON EDWARD MANKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, DCSW
Contact information
Practice address
2614 NE 44TH AVE, PORTLAND, OR 97213-1221
(503) 706-7024
Mailing address
2614 NE 44TH AVE, PORTLAND, OR 97213-1221
(503) 706-7024
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS14417
CA
Other
Enumeration date
12/07/2007
Last updated
06/07/2010
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