Amy Mangum, LOTR is a
Occupational Therapist based in Portland, Oregon. Amy Mangum is licensed to practice in Oregon (license number 402335) and her current practice location is
1815 Sw Marlow Ave Ste 110, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 292-0765.
NPI number for Amy Mangum is 1134766108 and her current mailing address is 5424 Ne 41st Ave, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134766108.
Healthcare Provider's Profile
Full Name | Amy Mangum |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 1815 Sw Marlow Ave Ste 110, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134766108
- Provider Enumeration Date: 12/09/2019
- Last Update Date: 09/03/2024
Medical Identifiers
Medical identifiers for Amy Mangum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134766108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | 402335 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Mangum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amy Mangum, LOTR 5424 Ne 41st Ave, Portland, OR 97211-8045 Ph: () - | Amy Mangum, LOTR 1815 Sw Marlow Ave Ste 110, Portland, OR 97225-5186 Ph: (503) 292-0765 |
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