Individual provider · Type 1 NPI

Stephanie C. Mangual Leon, NP

Psychiatric/Mental Health Nurse Practitioner · Salem, OR

NPI number 1801585385 Active

Practice location

255 Lancaster Dr NE
Salem, OR 97301-5155

Fax (503) 364-0775

Other practice locations

  • 505 SE 184th Ave Unit 331, Vancouver, WA 98683-1938 · (915) 207-5722
  • 601 Main St Ste 409, Vancouver, WA 98660-3414 · (915) 207-5722

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X10014644 (OR)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XF406522 (NY)
Nurse Practitioner 363L00000X231604 (AZ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1801585385

Stephanie C. Mangual Leon, NP's National Provider Identifier is 1801585385, issued on May 2, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Salem, OR. The record was last updated on Aug 14, 2026.