Individual
MICHAELA A MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCI
Contact information
Practice address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(503) 239-5738
(503) 239-8429
Mailing address
3150 SE BROOKLYN ST, PORTLAND, OR 97202-1923
(971) 570-5861
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
05-11-41
OR
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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