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Individual

MR. EDWARD R. MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
F.N.P.

Contact information

Practice address
3550 N. INTERSTATE AVE, PORTLAND, OR 97227-1097
(503) 285-9321
(503) 331-6446
Mailing address
500 NE MULTNOMAH ST., SUITE 100, PORTLAND, OR 97232-2099
(503) 813-4406
(503) 813-2824

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
088006831N1
OR

Other

Enumeration date
08/21/2006
Last updated
12/29/2021
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