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Dr. Bradley Dee Mangum, FNP-BC,DC
Family Nurse Practitioner in Burns, Oregon
NPI 1235465147

Bradley Dee Mangum is a Family Nurse Practitioner based in Burns, OR and is specialized in Family. Bradley Dee Mangum practices in Burns, OR and has the professional credentials of FNP-BC,DC. The NPI Number for Bradley Dee Mangum is 1235465147 and holds a License No. 1573A (Oregon).

The current practice location address for Bradley Dee Mangum is 559 W Washington St, Burns, OR and can be reached out via phone at 541-573-2074.

Location: 559 W Washington St, Burns, OR, 97720-1441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235465147
Provider Name
Bradley Dee Mangum
Credential
FNP-BC,DC
Provider Entity Type
Individual
Gender
Male
Address
559 W Washington St, Burns, OR, 97720-1441
Phone Number
541-573-2074
Fax Number
Provider Enumeration Date
10/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500763900 05 OR
institution
Provider Business Practice Location Address Details
Address
559 W Washington St
City
Burns
State
Oregon
Zip
97720-1441
Phone Number
541-573-2074
Fax Number
person
Provider Business Mailing Address Details
Address
559 W Washington St
City
Burns
State
Oregon
Zip
97720-1441
Phone Number
541-573-2074
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1573A (Idaho)
Definition
Definition to come...
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