Search › Oregon › 101YA0400X
Michael Mangum
NPI 1659669638 · on the registry since 2011
Practice
- Address
- 4941 Ne 17th Ave
Portland, OR 97211 - Phone
- (503) 282-3296
- Organisation at this address
- Lifeworks Northwest
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Sex
- Male
- Record last updated
- 2011-07-12
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