Dr. Koreana Mangan, Psy.D.
Psychologist, Clinical in Portland, OR. Individual provider (NPI-1).
NPI number1568898195
StatusActive
Last updated in NPPESMay 27, 2015
Details
- NPI
- 1568898195
- Entity type
- Individual (NPI-1)
- Name
- Dr. Koreana Mangan
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2013
- Last updated
- May 27, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 2501 | OR | Yes |
Practice location
1017 Sw Morrison St Ste 312Portland, OR 97205-2628
Phone 503-806-0035
Mailing address
1017 Sw Morrison St Ste 312Portland, OR 97205-2628
Phone 503-806-0035
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