Individual
KATE MANOUGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCC
Contact information
Practice address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(971) 865-2834
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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