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Robert Dylan Mangrum, PA-C
Surgical Physician Assistant in Portland, Oregon
NPI 1871546838

Robert Dylan Mangrum is a Surgical Physician Assistant based in Portland, OR and is specialized in Surgical. Robert Dylan Mangrum practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Robert Dylan Mangrum is 1871546838 and holds a License No. PA9101478 (Oregon).

The current practice location address for Robert Dylan Mangrum is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-8311.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
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Provider Profile Details
NPI Number
1871546838
Provider Name
Robert Dylan Mangrum
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
503-494-8311
Fax Number
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497748743 01 FL GROUP NPI NUMBER / LRHSI
292286000 05 FL
DA5786 01 FL RAILROAD MEDICARE GROUP NUMBER
500692609 05 OR
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-8311
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-8311
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
PA172009 (Oregon)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9101478 (Florida)
Definition
Definition to come...
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