| Advantage Medical Group Llp | |
|
9900 Sw Hall Blvd #200 Tigard OR 97223 | |
| (503) 293-1515 | |
| (503) 595-3905 |
| Full Name | Advantage Medical Group Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 9900 Sw Hall Blvd, Tigard, Oregon |
| Authorized Official Name and Position | Daniel Keith Mangum (DO OWNER) |
| Authorized Official Contact | 5032931515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Medical Group Llp 9900 Sw Hall Blvd #200 Tigard OR 97223 Ph: (503) 293-1515 | Advantage Medical Group Llp 9900 Sw Hall Blvd #200 Tigard OR 97223 Ph: (503) 293-1515 |
| NPI Number | 1578633616 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578633616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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