Individual
MS. MANYA DIANE DOBAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
10315 NE TANASBOURNE DR, HILLSBORO, OR 97124-7836
(503) 249-3434
(503) 495-8523
Mailing address
10315 NE TANASBOURNE DR, HILLSBORO, OR 97124-7836
(503) 249-3434
(034) 958-5235
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20050091NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60021577
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639368590
—
WA
01
—
237498
L&I
WA
01
—
8947886
CV
WA
01
—
P01290272
RR MEDICARE
WA
Enumeration date
10/17/2007
Last updated
03/21/2022
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