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Organization

ADVANTAGE MEDICAL GROUP LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL KEITH MANGUM DO (DO OWNER)
(503) 293-1515
Entity
Organization

Contact information

Practice address
9900 SW HALL BLVD, #200, TIGARD, OR 97223
(503) 293-1515
(503) 595-3905
Mailing address
9900 SW HALL BLVD, #200, TIGARD, OR 97223
(503) 293-1515
(503) 595-3905

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
11/08/2006
Last updated
08/22/2020
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