Individual
MR. PATRICK HAROLD MANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP
Contact information
Practice address
82911 BEACH ACCESS RD, UMATILLA, OR 97882-9419
(541) 922-6014
Mailing address
82911 BEACH ACCESS RD, UMATILLA, OR 97882-9419
(541) 922-6014
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201808693NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
201808693NP-PP
OR
Other
Enumeration date
12/08/2018
Last updated
12/08/2018
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