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Individual

MR. SCOTT MANNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN, BSN

Contact information

Practice address
30 NE MLK BLVD, PORTLAND, OR 97232-2941
(971) 346-4710
Mailing address
1716 HALLINAN ST, LAKE OSWEGO, OR 97034-6100

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
2012241371RN
OR

Other

Enumeration date
04/27/2026
Last updated
04/27/2026
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