Dr MEEGAN M MANGUM is a female medical professional, specializing in Physician Assistant. She graduated in 2013.
PROVIDENCE HEALTH AND SERVICES OREGON
9290 SE SUNNYBROOK BLVD
SUITE 120
CLACKAMAS
OR
970156802
Tel: 5032152110
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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