Individual
DR. KOREANA MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1017 SW MORRISON ST STE 312, PORTLAND, OR 97205-2628
(503) 806-0035
Mailing address
1017 SW MORRISON ST STE 312, PORTLAND, OR 97205-2628
(503) 806-0035
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2501
OR
Other
Enumeration date
09/13/2013
Last updated
05/27/2015
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