Carina Maida Quintilla Mangoba

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN61358766 Issued in WA

Practice address

12100 NE 113TH St
Vancouver, WA 98662-1645

Phone

(360) 609-6399

NPI assigned

Apr 17, 2026

Last updated

Apr 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1679417711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 NE BROGDEN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246719",
            "telephone_number": "406-214-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 NE 113TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986621645",
            "telephone_number": "360-609-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGOBA",
        "first_name": "CARINA MAIDA",
        "middle_name": "QUINTILLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201910564RN",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61358766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Charles Mand, MD
• Tenayah Manderscheid
• Cristina Elena Manea
• Abigale Maneely
• Genesis Manglona, BS
• Eric Leland Mangum
• Derk Lee Maniscalco, DNP
• Sasha Mankowski, PMHNP-BC
• Amy Fraser Manley, MSW
• Catherine Mann, LMT,LMP, NCBTMB

• Registered Nurse in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.