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

Mirranda Renee Mandera, CHW

Individual provider Community Health Worker · NPI 1093404725

Mirranda Renee Mandera, CHW is a Community Health Worker in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023

Practice location Address checks out

150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042
Phone: (541) 672-9596
Fax: (541) 672-7146
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 108696 (OR)

Record details

NPI number1093404725
Entity typeIndividual (Type 1)
GenderFemale
Credentials CHW
Sole proprietorNo
NPI enumeratedMay 8, 2023
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023

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