Individual
ROWENA L MANALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3900
Mailing address
10228 SE BROOKMORE CT, PORTLAND, OR 97086-9185
(503) 772-4560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OR MD24561
OR
Other
Enumeration date
09/03/2006
Last updated
02/04/2022
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