Individual
MRS. CARINA MAIDA QUINTILLA MANGOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12100 NE 113TH ST, VANCOUVER, WA 98662-1645
(360) 609-6399
Mailing address
3522 NE BROGDEN ST, HILLSBORO, OR 97124-6719
(406) 214-5234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201910564RN
OR
163W00000X
Registered Nurse
Primary
RN61358766
WA
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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