Individual
CAITLYN MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6108 NE GLISAN ST, PORTLAND, OR 97213-3864
(503) 255-8100
Mailing address
10201 66TH RD, FOREST HILLS, NY 11375-2029
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
220113
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/10/2021
Last updated
04/24/2024
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