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Search › Oregon › 172V00000X

Mirranda Mandera, CHW

NPI 1093404725 · on the registry since 2023

Practice

Address
150 Ne Kenneth Ford Dr
Roseburg, OR 97470
Phone
(541) 672-9596
Fax
(541) 672-7146
Organisation at this address
Umpqua Community Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
72

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon