Individual
ARAN MICHAEL GONZALES MANALANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 851-8110
Mailing address
151 N WILLIAMS AVE APT 103, KLAMATH FALLS, OR 97601-2701
(808) 205-5024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500832298
—
OR
Enumeration date
08/07/2023
Last updated
07/29/2024
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