Daniel K Mangum (NPI# 1710055322, PAC ID# 2163485426) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1710055322 |
| PAC ID by PECOS | 2163485426 |
| Professional Enrollment ID | I20100903000948 |
| Full Name | Daniel K Mangum |
| Organization Legal Name | ADVANTAGE MEDICAL GROUP LLP |
| Address |
9900 Sw Hall Blvd Suite 200 Tigard OR 97223-5843 |
| Phone Number | 5032931515 |
| Gender | M |
| Medical School | COLLEGE OF OSTEO OF THE PACIFIC |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7810989563 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9900 Sw Hall Blvd, Suite 200, Tigard, OR 97223-5843 | 5032931515 | ADVANTAGE MEDICAL GROUP LLP |
| 9900 Sw Hall Blvd, Tigard, OR 97223-5843 | 5032931515 | ADVANTAGE MEDICAL GROUP LLP |
| Organization Legal Name | ADVANTAGE MEDICAL GROUP LLP |
| Physicians | 1 |
| Street Address |
9900 SW HALL BLVD SUITE 200 |
| City | TIGARD |
| State | OR |
| Zip | 97223-5843 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mia Horvath | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Yama A Dehqanzada | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Julie E Horowitz | Physical Therapy | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Denny V Le | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Thomas C Melillo | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Todd L Galle | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Jason R Surratt | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Margaret B Loebner | Physical Therapy | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Scott J Taylor | Physical Therapy | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Clifford D Mah | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Quincy Michael Shorthill | Physical Therapy | 8915 Swnordic Dr, Tigard, OR 97223 | |
| Robert L Marrs | Clinical Social Worker | 7175 Sw Beveland St, Suite 200, Tigard, OR 97223 | |
| Halsy J Carter | Chiropractic | 12700 Sw N Dakota St, 180 Straight Up Chiropractic, Tigard, OR 97223-0802 | |
| Heidi U Ferguson | Family Medicine | Providence Health and Services Oregon | 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-0803 |
| Evagelia Baros | Internal Medicine | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Yvonne Howell | Physician Assistant | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Raghuveer B Shenoy | Internal Medicine | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Kathryn Marie Lund | Nurse Practitioner | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Kevin A Brooks | Physician Assistant | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Kirsten A Holmes | Physician Assistant | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Find all physicians in zip 97223 | |||
| City | TIGARD |
| Zip Code | 97223 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TIGARD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Daniel K Mangum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.