Individual
DONNA OGLESBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 NE MLK BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Mailing address
4820 NE HAZEL DELL AVE, APT 811, VANCOUVER, WA 98663-3803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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