Advantage Medical Group LLP

NPI #1578633616 in Tigard, Oregon

Provider Information

NPI Number: 1578633616
Entity Type: Organization
Organization Name: Advantage Medical Group LLP
Primary Specialty: Internal Medicine
Enumeration Date: Nov 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 9900 SW HALL BLVD
Address 2: #200
City: Tigard
State: Oregon
ZIP Code: 97223
Phone: (503) 293-1515

Authorized Official

Name: DR. DANIEL KEITH MANGUM, DO
Title: DO OWNER
Phone: (503) 293-1515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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