Mangis, Leah
Mangis, Leah is an sole proprietor health care provider with primary practice located at 182 Sw Academy St Ste 333 , Dallas OR 97338-1996. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mangis, Leah can be contacted via phone (503) 409-4499.Contact Information
Primary practice address
182 Sw Academy St Ste 333
Dallas OR 97338-1996
Phone: (503) 409-4499
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | A4325 | Oregon |
Profile Details
| NPI number | 1699898544 |
|---|---|
| LBN Legal business name | Mangis, Leah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2007 |
| Last updated | Mar 16th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699898544 | NPPES |
| Oregon | MEDICAID | 500708513 |
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