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Contact Information

MANDY BOGE, FNP
2525 NE 139TH ST STE 130
VANCOUVER, WA98686-2719
 Phone: 360-882-2778
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MANDY BOGE · (Female)

NPI Number 1710531991
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 07/26/2019
Last updated 05/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WA License # AP61106386
  • WA License # RN60847161
Hospital affiliation(s)
  • PEACHEALTH ST JOHN MEDICAL CENTER - (Acute Care)
    1615 DELAWARE STREET
    LONGVIEW, WA 98632
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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