Individual
MR. GERALD MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2375 NW GLISAN ST, PORTLAND, OR 97210-3420
(503) 243-2236
Mailing address
1309 N KILLINGSWORTH ST, #3, PORTLAND, OR 97217-4562
(503) 351-6297
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
09/11/2025
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