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Contact Information

CHARLES A MANGHAM JR, MD, MS
801 BROADWAY
STE 830
SEATTLE, WA98122-4396
 Phone: 206-328-4327
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CHARLES A MANGHAM JR · (Male)

NPI Number 1972565224
Status Active
Credentials MD, MS
Entity Individual
Enumeration date 04/03/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00013302
  • WA Medicaid 1130606
  • WA Other MD00013302 STATE MEDICAL LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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