Individual
MEGHAN MANNELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
3303 SW BOND AVE STE 9, PORTLAND, OR 97239-4501
(503) 494-3985
(503) 494-8550
Mailing address
3303 SW BOND AVE STE 9, PORTLAND, OR 97239-4501
(503) 494-3985
(503) 494-8550
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
8353954-3602
UT
Other
Enumeration date
08/16/2012
Last updated
10/04/2017
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