MEEGAN M MANGUM

PROVIDENCE HEALTH AND SERVICES OREGON

Dr MEEGAN M MANGUM is a female medical professional, specializing in Physician Assistant. She graduated in 2013.

Contact

PROVIDENCE HEALTH AND SERVICES OREGON

9290 SE SUNNYBROOK BLVD
SUITE 120
CLACKAMAS
OR
970156802

Tel: 5032152110

MEEGAN M MANGUM Information

Npi 1760818447
Pac Id 6002043775
Professional Enrollment Id I20131230001751
Last Name MANGUM
First Name MEEGAN
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Group Practice Pac Id 0648183608
Number Of Group Practice Members 1139
Line 1 Street Address 9290 SE SUNNYBROOK BLVD
Line 2 Street Address SUITE 120
Marker Of Address Line 2 Suppression
City CLACKAMAS
State OR
Zip Code 970156802
Phone Number 5032152110
Hospital Affiliation Ccn 1 380004
Hospital Affiliation Lbn 1 PROVIDENCE ST VINCENT MEDICAL CENTER
Hospital Affiliation Ccn 2 380038
Hospital Affiliation Lbn 2 PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER
Hospital Affiliation Ccn 3 380061
Hospital Affiliation Lbn 3 PROVIDENCE PORTLAND MEDICAL CENTER
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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