Individual provider · Type 1 NPI

Bridgeter Manyanga

Mental Health Counselor · Beaverton, OR

NPI number 1407138019 Active

Practice location

4150 SW Hocken Ave, Apt 13
Beaverton, OR 97005-2415

Call (503) 372-9989 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407138019

Bridgeter Manyanga's National Provider Identifier is 1407138019, issued on Sep 9, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beaverton, OR. The record was last updated on Sep 9, 2011.