Provider Demographics
NPI:1841507811
Name:DONLEY, ANGELA DAWN (BED)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:DAWN
Last Name:DONLEY
Suffix:
Gender:F
Credentials:BED
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:DAWN
Other - Last Name:SOLORZANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2103 SE CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-1230
Mailing Address - Country:US
Mailing Address - Phone:541-513-6152
Mailing Address - Fax:
Practice Address - Street 1:2103 SE CLINTON ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-1230
Practice Address - Country:US
Practice Address - Phone:541-513-6152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-10
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor