MEEGAN MARIE MANGUM

PORTLAND, OR
NPI1760818447
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA165383)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2013-09-25
Last Update Date2021-06-18
Business Address
MEEGAN MARIE MANGUM PA-C
9427 SW BARNES RD SUITE 498
PORTLAND, OR 97225-6652
Phone number: 503-216-0900
Mailing Address
MEEGAN MARIE MANGUM PA-C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: