Individual
GRACE LAUREN MANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 NE CESAR E CHAVEZ BLVD STE 270, PORTLAND, OR 97212-5434
(503) 836-8836
(503) 836-8144
Mailing address
2105 NE CESAR E CHAVEZ BLVD STE 270, PORTLAND, OR 97212-5434
(503) 836-8836
(503) 836-8144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16103
OR
Other
Enumeration date
07/06/2019
Last updated
11/04/2025
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