Individual
DONATELLA BOGDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 205-4349
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
Primary
201391578RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
201391578RN
OR
Other
Enumeration date
05/07/2014
Last updated
07/28/2014
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