Individual
SWAN GRACE MANDUJANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM/PSS
Contact information
Practice address
1631 SW COLUMBIA ST, PORTLAND, OR 97201-6025
(503) 231-2641
(503) 231-1654
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22-CRM-957
OR
175T00000X
Peer Specialist
THW000106701
OR
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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