Individual
DR. MAYA JANE MANKA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
308 VILLA RD, #116, NEWBERG, OR 97132-1830
(503) 538-7407
(503) 537-0640
Mailing address
308 VILLA RD, #116, NEWBERG, OR 97132-1830
(503) 538-7407
(503) 537-0640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD10760
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126565
—
OR
Enumeration date
06/17/2006
Last updated
07/08/2007
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