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Individual
ZACHARIAH MANNING
Active
Individual
ZACHARIAH MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201709467RN
OR
363L00000X
Nurse Practitioner
Primary
202107861NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202107861NP-PP
OREGON STATE BOARD OF NURSING
OR
Enumeration date
06/12/2018
Last updated
11/18/2021
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