DOUGLAS BANASKY

CLACKAMAS, OR
NPI1447765250
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L2928)
Enumeration Date2017-12-04
Last Update Date2017-12-04
Business Address
DOUGLAS BANASKY MSW, LCSW
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-652-2880
Mailing Address
DOUGLAS BANASKY MSW, LCSW
5200 SE 132ND AVE APT 5
PORTLAND, OR 97236-4186
Phone number:
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