Individual
JONATHAN MANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2910 SANTIAM HWY SE, ALBANY, OR 97322-1400
(541) 406-3899
Mailing address
2910 SANTIAM HWY SE, ALBANY, OR 97322-1400
(541) 406-3899
(458) 250-6238
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA228152
OR
Other
Enumeration date
01/22/2024
Last updated
12/09/2025
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