Individual
ROSEMARIE MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3710 SW US VETERAN HOSPITAL RD, PORTLAND, OR 97239
(503) 220-8262
Mailing address
3303 SW BOND AVE, HEMATOLOGY ONCOLOGY DIVISION MC CH14R, PORTLAND, OR 97239-0001
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0101232280
VA
207RX0202X
Medical Oncology Physician
Primary
MD190254
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207RX0202X
—
OR
Enumeration date
04/04/2007
Last updated
10/16/2018
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