Individual
MR. RICHARD EMANUEL MANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2320 FREEWAY DR, MOUNT VERNON, WA 98273
(360) 814-6800
(360) 814-6954
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
M10842
ID
207X00000X
Orthopaedic Surgery Physician
MD60836624
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD60836624
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G761420
—
CA
05
—
2107953
—
WA
Enumeration date
08/30/2006
Last updated
10/18/2018
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