Individual
ANTHONY MICHAEL ZANOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-1111
(503) 215-6987
Mailing address
9823 SE CORA ST, PORTLAND, OR 97266-2524
(503) 944-9996
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7650
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L7650
STATE LICENSE
OR
Enumeration date
07/03/2020
Last updated
01/15/2026
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