Individual
DR. STEPHEN JOHN MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10215 SW HALL BLVD, TIGARD, OR 97223-8809
(503) 245-2415
(503) 244-5963
Mailing address
10215 SW HALL BLVD, TIGARD, OR 97223-8809
(503) 245-2415
(503) 244-5963
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD157027
OR
Other
Enumeration date
01/19/2006
Last updated
06/27/2025
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