Individual
DR. PHILIP C MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
16455 BOONES FERRY RD STE B, LAKE OSWEGO, OR 97035-4367
(503) 482-7200
Mailing address
16455 BOONES FERRY RD STE B, LAKE OSWEGO, OR 97035-4367
(503) 482-7200
(503) 482-7221
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D9277
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD173704
OR
Other
Enumeration date
04/16/2009
Last updated
07/17/2025
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