Individual
JAMES FOSTER MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 NW 22ND AVE, #620, PORTLAND, OR 97210-3057
(503) 243-2304
Mailing address
1040 NW 22ND AVE, #620, PORTLAND, OR 97210-3057
(503) 243-2304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15300
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD15300
STATE LICENSE
OR
Enumeration date
12/22/2006
Last updated
07/08/2007
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