Individual
IAN B MANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
531 N HIGHWAY 101 STE A, DEPOE BAY, OR 97341-9572
(541) 765-3265
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201506484NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP128003
TX
Other
Enumeration date
07/26/2015
Last updated
09/29/2023
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