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 Not confirmed with CMS for 10 years — call before visiting
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

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