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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MANGATA WELLNESS, INC

Active Organization

MANGATA WELLNESS, INC is a Clinical Psychologist organization located in SALEM, Oregon. NPI 1790419158 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · SALEM, OR

Registration Details

NPI Number
1790419158
Provider Type
Organization
NPI Issued
Jul 12, 2022 (4.1004698722355 yrs)
Last Updated
Jul 12, 2022

Practice Information

Address
388 STATE ST STE 704
SALEM, OR, 973014023
Browse OR providers · Browse ZIP 97301
Phone
5039179623
Fax
5039196050
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Geriatric Psychologist
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.