Provider Demographics
NPI:1720275910
Name:ALTMAN, DONALD B (DONALD ALTMAN, LPC)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:B
Last Name:ALTMAN
Suffix:
Gender:M
Credentials:DONALD ALTMAN, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1684 WILLAMETTE FALLS DR
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-4521
Mailing Address - Country:US
Mailing Address - Phone:503-650-2208
Mailing Address - Fax:503-650-3882
Practice Address - Street 1:1684 WILLAMETTE FALLS DR
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-4521
Practice Address - Country:US
Practice Address - Phone:503-650-2208
Practice Address - Fax:503-650-3882
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2097101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health