Individual
DR. STEPHEN A. MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
929 SW SIMPSON AVE, SUITE 300, BEND, OR 97702-3599
(541) 389-7741
(541) 278-8376
Mailing address
PO BOX 670, BEND, OR 97709-0670
(541) 389-7741
(541) 388-3832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D012467
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188854
—
OR
Enumeration date
01/19/2006
Last updated
05/11/2017
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