Individual
MR. DONALD LEE MANGHELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
16415 SW 93RD AVE, TIGARD, OR 97224-5597
(503) 936-4621
Mailing address
16415 SW 93RD AVE, TIGARD, OR 97224-5597
(503) 936-4621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
286
OR
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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