MIRRANDA RENEE MANDERA CHW
NPI 1093404725
Community Health Worker in Roseburg, OR
About Mirranda Renee Mandera Chw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRRANDA RENEE MANDERA CHW (NPI 1093404725) is an individual community health worker in Roseburg, Oregon, licensed in Oregon (108696) and active in the NPI registry since May 2023.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEBURG, OR 97470
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mirranda Mandera's NPI number?
The NPI number for Mirranda Mandera is 1093404725. It was assigned to this individual provider in the NPPES registry on May 8, 2023.
Where is Mirranda Mandera located?
Mirranda Mandera practices at 150 NE Kenneth Ford Dr, Roseburg, OR 97470. The listed phone number is (541) 672-9596.
What is Mirranda Mandera's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
When was this NPI record last updated?
The NPPES record for Mirranda Mandera was last updated on May 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.