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Licensee/Applicant Detail - Verification of Licensure/Application Status

Information current as of: 02/26/2021
Query Time: 02/27/2021 12:49:12 pm

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License/Application Number 773
First Name David C.
Last Name Manfield
Title Ph.D.
Address 4000 Kruse Way Pl, B2-330
City Lake Oswego
State OR
Country U.S.A
Phone Number 503-223-2391
Status Active Psychologist
Date Licensed 5/19/1988
Expiration Date 5/31/2022
Proposed or Final Board Action No
Under Supervision No

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