OrganizationActive
Advantage Medical Group LLP
NPI 1578633616 · Internal Medicine Physician · Tigard, OR
Provider details
- NPI number
- 1578633616
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Mangum, DO Owner(503) 293-1515
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9900 Sw Hall Blvd
#200
Tigard, OR 97223
Phone: (503) 293-1515
Fax: (503) 595-3905
Approximate (ZIP-level) locationGet directions
Mailing address
9900 Sw Hall Blvd
Tigard, OR 97223
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.