Individual
MICHAEL MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9370 SW GREENBURG RD, SUITE 601, PORTLAND, OR 97223-5442
(503) 246-5238
Mailing address
9370 SW GREENBURG RD, SUITE 601, PORTLAND, OR 97223-5442
(503) 246-5238
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
02-11-56
OR
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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