MICHAEL MULLIGAN

PORTLAND, OR
NPI1770913121
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  02-11-56)
Enumeration Date2013-11-22
Last Update Date2013-11-22
Business Address
-- MICHAEL MULLIGAN
9370 SW GREENBURG RD SUITE 601
PORTLAND, OR 97223-5442
Phone number: 503-246-5238
Mailing Address
-- MICHAEL MULLIGAN
9370 SW GREENBURG RD SUITE 601
PORTLAND, OR 97223-5442
Phone number: 503-246-5238
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