Individual
DR. SUSHILPA MANGINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4104 SE 82ND AVE STE 450, PORTLAND, OR 97266-2958
(503) 771-4324
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9023
OR
Other
Enumeration date
03/21/2008
Last updated
05/21/2015
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