| Stephanie C Mangual Leon, | |
|
255 Lancaster Dr Ne, Salem, OR 97301-5155 | |
| (787) 298-7480 | |
| (503) 364-0775 |
| Full Name | Stephanie C Mangual Leon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 255 Lancaster Dr Ne, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801585385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 231604 (Arizona) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10014644 (Oregon) | Primary |
| Entity Name | Yakima Valley Farm Workers Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427001940 PECOS PAC ID: 4385541986 Enrollment ID: O20040116001020 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie C Mangual Leon, 255 Lancaster Dr Ne, Salem, OR 97301-5155 Ph: (503) 576-8400 | Stephanie C Mangual Leon, 255 Lancaster Dr Ne, Salem, OR 97301-5155 Ph: (787) 298-7480 |
Ashley Barth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-814-5554 | |
Dr. Betty Ang, PH.D., PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1660 Oak St Se, Salem Va Outpatient Clinic, Salem, OR 97301 Phone: 503-316-8817 Fax: 503-316-9037 | |
Mrs. Patricia Lynn Eich, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3180 Center St Ne, Salem, OR 97301 Phone: 503-588-5355 Fax: 503-585-4995 | |
Lisa Renee Bennett, FNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1095 Liberty St Ne, Salem, OR 97301 Phone: 503-581-6550 Fax: 503-581-4755 | |
Curtis B Gill, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-561-5554 | |
Mr. Matthew David Piehler, PMHNP-BC, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 Silverton Rd Ne Ste B, Salem, OR 97301 Phone: 503-588-5351 | |
Ms. Sharon L Espersen, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 885 Mission St Se, Salem, OR 97302 Phone: 503-585-5585 Fax: 503-587-7823 |