MEEGAN MARIE MANGUM


Address: 9427 Sw Barnes Rd, Suite 498, Portland, OR 97225-6652
Phone: 5032160900

MEEGAN MARIE MANGUM (NPI# 1760818447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760818447
Entity Type Individual
Full Name MEEGAN MARIE MANGUM
Credential PA-C
Practice Address 9427 Sw Barnes Rd
Suite 498
Portland
OR 97225-6652
Mailing Address Po Box 3158
Portland
OR 97208-3158
Practice Telephone 5032160900
Enumeration Date 2013-09-25
Last Update Date 2015-10-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA165383 OR Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 500664531 05
OR RR MEDICARE - PH&S P01494183 01

Office Location

Street Address 9427 SW BARNES RD
SUITE 498
City PORTLAND
State OR
Zip Code 97225-6652

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407851363 Bernard A Gasch Dermatology 9427 Sw Barnes Rd, Suite 495, Portland, OR 97225-6652 2005-06-16
1316473564 Providence General Acute Care Hospital 9427 Sw Barnes Rd, Sutie 295, Portland, OR 97225 2017-05-10
1316318124 Jun-nicole Matsushita Doula 9427 Sw Barnes Rd, Suite 395, Portland, OR 97225-6652 2015-10-20
1457759318 Providence Health & Services - Oregon Pediatrics 9427 Sw Barnes Rd, Ste 395, Portland, OR 97225-6652 2014-12-09
1912324963 Transitional Care Alliance Nurse Practitioner 9427 Sw Barnes Rd, Portland, OR 97225-6652 2014-03-27
1083059778 Providence Health & Services - Oregon Obstetrics & Gynecology 9427 Sw Barnes Rd, Suite 599, Portland, OR 97225-6652 2013-05-08
1912341108 Emmanuel Rey Ariola Registered Nurse 9427 Sw Barnes Rd, Suite 495, Portland, OR 97225-6652 2013-04-18
1023359213 Cheri Lynn Belling Nurse Practitioner 9427 Sw Barnes Rd, Suite 595, Portland, OR 97225-6652 2013-03-13
1639436074 Alison Christy Psychiatry & Neurology 9427 Sw Barnes Rd, Suite 395, Portland, OR 97225-6652 2012-04-23
1477827509 Providence Health & Services - Oregon Clinic/Center 9427 Sw Barnes Rd, Suite 596, Portland, OR 97225-6640 2012-03-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508425034 Gabrielle Gonzales Behavior Technician 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 2019-06-08
1558844555 Tate Roseberry Behavior Technician 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 2018-09-14
1982186300 Dean Alan Hopkins Registered Nurse 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 2018-09-01
1316449168 Surgery Center At St. Vincent, LLC Clinic/Center 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 2018-03-07
1730606716 Meghan Louise Lacy Pediatrics 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 2017-08-29
1841733433 Tia Pugh Occupational Therapist 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 2016-11-30
1295185585 Stephanie Lynn Hart Nurse Practitioner 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 2016-06-16
1962866244 Bejian Shamloo Chiropractor 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 2016-04-12
1992162630 Robert Joseph Yoder Psychologist 9045 Barnes Rd, Portland, OR 97225 2016-01-26
1316303951 Katie Herold Chiropractor 9315 Sw Morrison St, Portland, OR 97225 2016-01-12
Find all providers in zip 97225

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427676493 Lindsey Louise Peterson Physician Assistant 3505 N Williams Ave, Portland, OR 97227-1437 2020-07-07
1518584036 Abigail Nichole Dumont Physician Assistant 6064 Sw 30th Ave, Portland, OR 97239-1018 2020-06-30
1336769637 Molly Tanguay Physician Assistant 23 Bramhall St, Portland, ME 04102-3121 2020-04-16
1063040525 Jessica Nursick Physician Assistant 26 Sand Hill Rd, Portland, CT 06480-1737 2020-03-31
1689217630 Evan Eisher Physician Assistant 3809 Se Stephens St, Portland, OR 97214-5248 2019-10-22
1508407941 Amie Bates Physician Assistant 1040 Nw 22nd Ave # Ll030, Portland, OR 97210-3057 2019-10-07
1558923326 Mackenzie Graye Mcmillin Physician Assistant 1601 Congress St Ste 1, Portland, ME 04102-2145 2019-07-02
1447812268 Maksim Yefimov Physician Assistant 2800 N Vancouver Ave Ste 130, Portland, OR 97227 2019-07-01
1942794839 Michael Peterson Physician Assistant 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 2018-06-14
1306383930 Rachel Lynn Witowski Physician Assistant 2124 Nw Hoyt St, Portland, OR 97210-3215 2017-01-20
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Competitor

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City PORTLAND
Zip Code 97225

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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