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

Jeffrey Mangum

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1366724551

Jeffrey Mangum is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2011.

Licensed in
OR, WA
In the registry since
2011
Specialties on file
2

Practice location Address checks out

4849 NE 138th Ave
Portland, OR 97230-3401
Phone: (503) 257-3935
Fax: (503) 253-3747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence RPH-0013850 (OR)
Pharmacist Taxonomy 183500000X · Licence PH00017370 (WA)

Record details

NPI number1366724551
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 13, 2011
Last updated in NPPESDecember 31, 2015
Mailing address4849 Ne 138th Ave, Portland, OR 97230-3401

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