Individual
MITZI DONABEL ANG GO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8122
(503) 494-4953
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8122
(503) 494-4953
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD28482
OR
2080N0001X
Neonatal-Perinatal Medicine Physician
04-35002
KS
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD28482
OR
Other
Enumeration date
11/03/2008
Last updated
07/06/2020
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