Kristin Haines Mangan in Portland - Speech-language Pathologist
Kristin Haines Mangan - NPI 1215945753
Kristin Haines Mangan is a Speech-language Pathologist in Portland, Oregon. Kristin Haines Mangan practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kristin Haines Mangan is 1215945753. The last update date is 2009-07-08.
Kristin Haines Mangan's current location address is 707 Sw Gaines St, Portland, Oregon. You can contact this provider via phone number 8004523563. The mailing address for Kristin Haines Mangan is 707 Sw Gaines St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kristin Haines Mangan |
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Address | 707 Sw Gaines St, Portland, Oregon |
Phone Number | 8004523563 |
Fax Number | |
Sole Proprietor | N |
Credentials | CCC-SLP |
NPI Number Detail
NPI Number | 1215945753 |
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Provider Enumeration Date | 2006-08-03 |
Last Updated Date | 2009-07-08 |
Provider Mailing Address Detail
Address | 707 Sw Gaines St |
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City | Portland |
State | Oregon (OR) |
Post Code | 972392901 |
Phone Number | 8004523563 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Speech-language Pathologist |
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Taxonomy | 235Z00000X |
Licence No | 12642 |
Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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270054 | OR | -- |
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What is the unique identification code assigned to Kristin Haines Mangan by the Centers for Medicare & Medicaid Services?
The Kristin Haines Mangan has been issued the NPI (National Provider Identifier) 1215945753. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kristin Haines Mangan located?
The Kristin Haines Mangan is located at 707 Sw Gaines St, Portland, OR 972392901.
What is Kristin Haines Mangan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kristin Haines Mangan is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.
On what date did the Kristin Haines Mangan receive its 1215945753 assignment from the Centers for Medicare & Medicaid Services?
The Kristin Haines Mangan was assigned its 1215945753 by the Centers for Medicare & Medicaid Services on 2006-08-03.
As of what date were the details related to Kristin Haines Mangan most recently updated or revised?
The information pertaining to Kristin Haines Mangan, including its address, specialty, and other relevant details, was last updated or revised on 2009-07-08.