DANIEL KEITH MANGUM

TIGARD, OR
NPI1710055322
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  DO15821)
Enumeration Date2006-12-01
Last Update Date2007-07-08
Business Address
Dr. DANIEL KEITH MANGUM DO
9900 SW HALL BLVD #200
TIGARD, OR 97223
Phone number: 503-293-1515
Mailing Address
Dr. DANIEL KEITH MANGUM DO
9900 SW HALL BLVD #200
TIGARD, OR 97223
Phone number: 503-293-1515
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