Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Robert Dylan Mangrum, PA-C

Individual provider Physician Assistant · NPI 1871546838

Robert Dylan Mangrum, PA-C is a Physician Assistant in Portland, Oregon. Graduated from Saint Louis University School of Medicine in 2000, 26 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Oregon.

Years since qualifying
26
Trained at
Saint Louis University School of Medicine
Licensed in
FL, OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 15700 Sw Greystone Ct, Beaverton, OR 97006-6011 — (503) 494-6400
  • 3303 S Bond Ave, Portland, OR 97239-4501 — (503) 494-6400

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA172009 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA9101478 (FL)

Record details

NPI number1871546838
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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