Individual
MANUELA C MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13810 SE MATILDA DR, MILWAUKIE, OR 97267-2118
(503) 936-2818
Mailing address
PO BOX 1714, GRESHAM, OR 97030-0533
(503) 936-2818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
090000627RN
OR
Other
Enumeration date
11/13/2014
Last updated
11/17/2014
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