Individual
DR. JEFFREY VINCENT MANCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9155 SW BARNES RD STE 231, PORTLAND, OR 97225-6653
(971) 254-9884
(503) 206-8365
Mailing address
9155 SW BARNES RD STE 231, PORTLAND, OR 97225-6653
(971) 254-9884
(503) 206-8365
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301086125
MI
208600000X
Surgery Physician
Primary
MD170539
OR
208C00000X
Colon & Rectal Surgery Physician
4301086125
MI
Other
Enumeration date
03/15/2007
Last updated
05/16/2022
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