Search › Washington › 163W00000X
Carina Maida Mangoba
NPI 1679417711 · on the registry since 2026 · sole proprietor
Practice
- Address
- 12100 Ne 113th St
Vancouver, WA 98662 - Phone
- (360) 609-6399
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 163W00000X
- Licence states on file
- OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-17
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 Washington