AMY MANGUM

PORTLAND, OR
NPI1134766108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OR  402335)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2019-12-09
Last Update Date2025-02-27
Business Address
AMY MANGUM LOTR
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239-4285
Phone number: 503-292-0765
Mailing Address
AMY MANGUM LOTR
5424 NE 41ST AVE
PORTLAND, OR 97211-8045
Phone number: