Individual
MR. DOUGLAS MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2270 SE 39TH AVE, PORTLAND, OR 97214-5916
(503) 963-8337
Mailing address
PO BOX 8549, PORTLAND, OR 97207-8549
(503) 963-8337
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
01/29/2007
Last updated
04/18/2008
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