RYAN MANGUM


Address: 2009 F St, Vancouver, WA 98663-3345
Phone: 3606933715

RYAN MANGUM (NPI# 1790311157) 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) 1790311157
Entity Type Individual
Full Name RYAN MANGUM
Credential PHD
Practice Address 2009 F St
Vancouver
WA 98663-3345
Practice Telephone 3606933715
Mailing Telephone 3606933715
Enumeration Date 2020-03-18
Last Update Date 2020-07-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
PY61070460 WA Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
6301018219 MI Behavioral Health & Social Service Providers

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NPI Name Taxonomy Address Enumeration
1528258688 Ryan Duane Mangum Chiropractor 1700 E Bogard Rd Bldg B, Wasilla, AK 99654-6563 2007-07-25

Office Location

Street Address 2009 F ST
City VANCOUVER
State WA
Zip Code 98663-3345

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053946673 Jessica Maree Carnes Dental Hygienist 6505 Nw Cherry Street, Vancouver, WA 98663 2020-03-04
1598247207 Kristine Marie Mcginley Acupuncturist 100 East 33rd St., Ste 203a, Vancouver, WA 98663 2018-08-30
1932689460 Jennifer Fowler Behavioral Analyst 1901 Broadway St Apt 103, Vancouver, WA 98663 2018-08-15
1083109755 Kallie A Wikman Physical Therapist 100 E 33rd St Ste 204, Vancouver, WA 98663 2018-06-26
1407344872 Kyle Besaw Student in an Organized Health Care Education/Training Program 300 E 33rd St Ste 100, Vancouver, WA 98663 2018-05-01
1023521747 Focal Clinic Inc Counselor 3305 Main St Ste 205, Vancouver, WA 98663 2017-11-16
1215455365 Thirty Three Oaks, LLC Skilled Nursing Facility 400 E. 33rd St., Vancouver, WA 98663 2017-09-08
1174047690 Douglas Gangat Uy Counselor 1610 C Street, Suite 102, Vancouver, WA 98663 2017-07-26
1699206243 Maggie May Mcgraw Social Worker 410 E 20th Street, Vancouver, WA 98663 2017-03-24
1356740328 Joseph Kelly Dentist 1008 Nw 59th St., Vancouver, WA 98663 2014-08-15
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265055172 Dani Nierenberg Phd Bcb Pllc Psychologist 108 Se 124th Ave Ste 12, Vancouver, WA 98684-6015 2020-05-27
1790217578 Allison Rose Chambers-dixson Psychologist 750 Officers Row, Vancouver, WA 98661-3845 2017-03-30
1225408941 Peter Weiss Psychologist 237 Ne Chkalov Dr Ste 118, Vancouver, WA 98684-5054 2015-10-07
1912281254 Linda Lee Psychologist 13220 Nw 33rd Ave, Vancouver, WA 98685-2288 2011-10-05
1215241781 Chrystal Joy Agnor Psychologist 10708 Ne 90th Ct, Vancouver, WA 98662-1455 2010-07-27
1093040743 Gregory Allen May Psychologist 400 E Evergreen Blvd Ste 209, Vancouver, WA 98660-3264 2009-10-14
1780826289 Kelly Ross Fielding Psychologist 201 E 19th St, Vancouver, WA 98663-3301 2009-03-30
1174764732 Cecilia M Dominguez Psychologist 2101 Ne 139th St Ste 265, Vancouver, WA 98686-2311 2009-03-11
1265684765 Gary Seeman Psychologist 9901 Ne 7th Ave Ste B231, Vancouver, WA 98685-4538 2008-10-15
1548411275 Gretchen C Lemmon Psychologist 1104 Main St Ste 550a, Vancouver, WA 98660-2955 2008-09-30
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Competitor

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City VANCOUVER
Zip Code 98663

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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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