Individual
DONNA B. MACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3325 N INTERSTATE AVE, PORTLAND, OR 97227-1020
(503) 285-9321
Mailing address
21830 S.W. 108 AVE., TUALATIN, OR 97062
(503) 692-4961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C0757
OR
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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