IndividualActive
Douglas Banasky, MSW, LCSW
NPI 1447765250 · Clinical Social Worker · Clackamas, OR
Provider details
- NPI number
- 1447765250
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- L2928 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
10180 Se Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 652-2880
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Se 132nd Ave Apt 5
Portland, OR 97236-4186
Registry dates
- Enumerated
- 2017-12-04
- Last updated
- 2017-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.