Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Sally Jane Mangum, DO

Individual provider Internal Medicine Physician · NPI 1912351917

Dr. Sally Jane Mangum, DO is an Internal Medicine in Corvallis, Oregon. Qualified in 2016, 10 years ago. Practices with Tanana Valley Clinic LLC, a 142-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone: (541) 768-4906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 177159 (OR)

Record details

NPI number1912351917
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 16, 2016
Last updated in NPPESSeptember 24, 2019
Mailing address3600 Nw Samaritan Dr, Corvallis, OR 97330-3737

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Tanana Valley Clinic Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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